Form990
Click to see attachment
Click to see attachment
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 07-01-2021 , and ending 06-30-2022
BCheck if applicable:
CName of organization
TRINITY HEALTH CORPORATION
 
 
Doing business as
SEE SCHEDULE O
 
Number and street (or P.O. box if mail is not delivered to street address)
20555 VICTOR PKWY
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LIVONIA, MI481527031
D Employer identification number

35-1443425
E Telephone number

G Gross receipts $ 2,491,029,159
F Name and address of principal officer:
MICHAEL SLUBOWSKI
20555 VICTOR PKWY
LIVONIA,MI481527031
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TRINITY-HEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1978
M State of legal domicile: IN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 14
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 8,094
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 2,063,573
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 705,289
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,240,570 2,807,656
9 Program service revenue (Part VIII, line 2g) ......... 1,805,016,662 2,056,640,035
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 507,827,264 369,005,170
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 37,236,647 62,576,298
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 2,352,321,143 2,491,029,159
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,549,787 11,579,371
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 871,955,810 1,001,784,262
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,307,116,773 1,462,412,558
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,184,622,370 2,475,776,191
19 Revenue less expenses. Subtract line 18 from line 12....... 167,698,773 15,252,968
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 11,337,858,844 11,390,095,796
21 Total liabilities (Part X, line 26)............. 9,960,000,325 10,328,601,772
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,377,858,519 1,061,494,024
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: WE, TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,432,827,542 including grants of $ 11,579,371 ) (Revenue $ 2,116,663,265 )
TRINITY HEALTH CORPORATION'S PURPOSE IS TO GOVERN, MANAGE, AND PROVIDE ADMINISTRATIVE SERVICES TO ITS SUBSIDIARIES, WHICH INCLUDE HOSPITAL ORGANIZATIONS EXEMPT UNDER SECTION 501(C)(3) THAT PROVIDE NEEDED HEALTH CARE SERVICES TO THE COMMUNITIES IN WHICH THEY ARE LOCATED. THE SERVICES PROVIDED BY TRINITY HEALTH CORPORATION ALLOW FOR ECONOMIES OF SCALE THAT IN TURN PERMIT THE SUBSIDIARIES TO PROVIDE HEALTH CARE SERVICES TO PATIENTS AT A REASONABLE COST. TRINITY HEALTH CORPORATION AND ITS SUBSIDIARIES ARE COLLECTIVELY KNOWN AS TRINITY HEALTH.TRINITY HEALTH IS ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE BY CONNECTING SOCIAL AND CLINICAL CARE, ADDRESSING SOCIAL NEEDS, DISMANTLING SYSTEMIC RACISM, AND REDUCING HEALTH INEQUITIES. WE DO THIS BY: 1. INVESTING IN OUR COMMUNITIES, 2. ADVANCING SOCIAL CARE, AND 3. IMPACTING SOCIAL INFLUENCERS OF HEALTH.TO FURTHER OUR STRATEGY IN FISCAL YEAR 2022 (FY22), CHWB LAUNCHED TWO TRAINING SERIES TO ADVANCE HEALTH AND RACIAL EQUITY IN OUR COMMUNITIES.1. CHWB LEADER SERIES TO ADVANCE HEALTH AND RACIAL EQUITY: A YEAR-LONG PEER LEARNING SERIES TO BUILD THE CAPACITY OF OUR CHWB LEADERS TO DELIVER ON OUR CHWB STRATEGY WITH A FOCUS ON COMMUNITY LEADERSHIP AND ENGAGEMENT, AND THE USE OF A RACIAL EQUITY LENS IN ALL OF OUR DECISION MAKING. 2. COMMUNITY ENGAGEMENT TO ADVANCE RACIAL JUSTICE - PREPARING FOR IMPLEMENTATION STRATEGY: A FOUR-PART SERIES ON ENGAGING OUR COMMUNITIES IN MEANINGFUL WAYS USING A HEALTH EQUITY AND RACIAL EQUITY LENS TO BUILD LASTING PARTNERSHIPS AND IMPACTFUL IMPLEMENTATION STRATEGIES.INVESTING IN OUR COMMUNITIES - TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FY22, TRINITY HEALTH CONTRIBUTED $1.37 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. SOME EXAMPLES OF THESE INVESTMENTS INCLUDE: TRINITY HEALTH AWARDED OVER $1.6 MILLION IN COMMUNITY GRANTS THAT DIRECTLY ALIGN WITH INTERVENTIONS AND LOCAL PARTNERSHIPS IDENTIFIED IN ITS MEMBER HOSPITALS' COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGIES, INCLUDING ACCESS TO HEALTH CARE, MENTAL HEALTH, TRANSPORTATION, COMMUNITY ENGAGEMENT, FOOD ACCESS, AND HOUSING SUPPORTS. WITH A $1.2 MILLION INITIAL INVESTMENT, TRINITY HEALTH LAUNCHED ROUND 2 OF THE TRANSFORMING COMMUNITIES INITIATIVE (TCI), A FIVE-YEAR, INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE, PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN NINE OF OUR COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. HEALTH MINISTRIES RECEIVING TCI FUNDING ARE COLLABORATING WITH A LOCAL MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE DEVELOPMENT OF THEIR MOST RECENT CHNA IMPLEMENTATION STRATEGY. TRINITY HEALTH AWARDED OVER $1 MILLION IN COVID-19 FUNDING TO SUPPORT NEW AND ONGOING COMMUNITY ENGAGEMENT AND MOBILIZATION EFFORTS AROUND MAKING THE COVID-19 VACCINATION ACCESSIBLE TO ALL ELIGIBLE POPULATIONS. THIS FUNDING WAS DESIGNED TO SUPPORT ALL COMMUNITIES TO ENSURE EASY AND EQUITABLE ACCESS TO THE VACCINE BY REMOVING BARRIERS FOR ALL PEOPLE TO RECEIVE THE VACCINE, ESPECIALLY COMMUNITIES THAT HAVE LESS THAN A 75% VACCINATION RATE. WITH THIS FUNDING, HEALTH MINISTRIES FACILITATED 3,200 COVID-19 VACCINE EVENTS, ADMINISTERED 80,000 COVID-19 VACCINE DOSES, AND REACHED 874,000 PEOPLE WITH EDUCATIONAL MATERIALS ON COVID-19 AND THE BENEFITS OF VACCINATION.IN ADDITION TO THE $1.37 BILLION IN COMMUNITY BENEFIT SPENDING, OUR COMMUNITY INVESTING PROGRAM HAD THE MOST ROBUST YEAR OF LENDING SINCE THE PROGRAM'S INCEPTION OVER 20 YEARS AGO: $17.8 MILLION IN NEW LOANS AND $8.3 MILLION IN LOAN RENEWALS WERE APPROVED, FOCUSING ON BUILDING AFFORDABLE HOUSING AND INCREASING ACCESS TO EDUCATION IN PARTNERSHIP WITH OUR HEALTH MINISTRIES. ADVANCING SOCIAL CARE - TRINITY HEALTH'S SOCIAL CARE PROGRAM WAS DEVELOPED TO ADDRESS SOCIAL NEEDS, SUCH AS ACCESS TO TRANSPORTATION, CHILDCARE, OR AFFORDABLE MEDICATIONS BY FACILITATING CONNECTIONS BETWEEN OUR PATIENTS, HEALTH CARE PROVIDERS AND COMMUNITY PARTNERS THAT PROMOTE HEALTHY BEHAVIORS. HIGHLIGHTS FROM FY22 INCLUDE THE FOLLOWING SUCCESSES:- LAUNCHED TRINITY HEALTH COMMUNITY HEALTH WORKER (CHW) CERTIFICATION PROGRAM, TRAINING 86 CHWS WITH 40+ HOURS OF TRAINING, AND INCREASED CHW STAFF ACROSS MOST HEALTH MINISTRIES- LAUNCHED A SYSTEM-WIDE ASSESSMENT OF LANGUAGE ACCESS SERVICES TO RECOMMEND SYSTEM STANDARDS THAT ENSURE CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR ALL OF OUR PATIENTS, THEIR COMPANIONS, AND CAREGIVERS- ENGAGED OVER 1,100 PARTICIPANTS IN THE NATIONAL DIABETES PREVENTION PROGRAM, EXCEEDING OUR PROGRAM YEAR 5 GOAL- INCREASED THE NUMBER OF ACTIVE COMMUNITY PARTNER ORGANIZATIONS ON THE COMMUNITY RESOURCE DIRECTORY BY 120% FROM FISCAL YEAR 2021- ENGAGED 5,300+ PATIENTS WHO ARE DUALLY ENROLLED IN MEDICARE AND MEDICAID IN A SOCIAL CARE OR MEDICAL CARE ACTIVITY, IN SUPPORT OF REDUCING PREVENTABLE HOSPITALIZATIONS (SUCH AS DIABETES AND ASTHMA)IMPACTING SOCIAL INFLUENCERS OF HEALTH - LEVERAGING INVESTOR POWER TO CATALYZE CORPORATE SOCIAL RESPONSIBILITY, TRINITY HEALTH'S SHAREHOLDER ADVOCACY WORK FOCUSES ON DISMANTLING RACISM ACROSS FIVE STRATEGIC FOCUS AREAS BY HOLDING CORPORATIONS ACCOUNTABLE FOR THE HUMAN RIGHTS VIOLATIONS THOSE COMPANIES PERPETUATE IN THE U.S. AND BEYOND. IN FY22, TRINITY HEALTH FACILITATED OVER 135 SHAREHOLDER ADVOCACY ENGAGEMENTS, WITH GREAT SUCCESS:- FIVE BELOW COMMITTED TO ASSESS AND MANAGE THE RISKS/HAZARDS ASSOCIATED WITH CHEMICALS OF HIGH CONCERN CONTAINED IN THEIR PRIVATE LABEL PRODUCTS- UNILEVER AGREED TO STOP FOOD AND BEVERAGE MARKETING TO CHILDREN UNDER AGE 16, AND WILL ADOPT NEW TARGETS TO REDUCE SALT, ADDED SUGARS AND CALORIES, AND INCREASE SALES OF THEIR HEALTHIER PRODUCTS- PEPSICO SET GOALS TO INCREASE POSITIVE NUTRIENTS IN THEIR PRODUCTS- PDC ENERGY ACCELERATED ITS GOAL TO END ROUTINE FLARING OF METHANE, FROM 2030 TO 2025, THUS REDUCING ENVIRONMENTAL HEALTH RISKS AND GREENHOUSE GAS EMISSIONSADDITIONALLY, TRINITY HEALTH AND OTHER MEMBERS OF THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY GUN SAFETY GROUP SUBMITTED A SHAREHOLDER RESOLUTION ASKING STURM RUGER, ONE OF THE NATION'S LEADING MANUFACTURERS OF FIREARMS, TO CONDUCT AND PUBLISH AN INDEPENDENT HUMAN RIGHTS IMPACT ASSESSMENT OF ITS POLICIES, PRACTICES AND PRODUCTS, AND MAKE RECOMMENDATIONS FOR IMPROVEMENT. THE RESOLUTION RECEIVED A 68.5% VOTE IN FAVOR, WELL ABOVE THE THRESHOLD REQUIRED FOR THE RESOLUTION TO BE RESUBMITTED IN 2023, INDICATING A LARGE MAJORITY OF STURM RUGER INVESTORS BELIEVE THE COMPANY HAS TO ADDRESS ITS HUMAN RIGHTS IMPACTS. TRINITY HEALTH AND TRINITY HEALTH OF NEW ENGLAND ARE CITED AS PART OF THE GROUP WHO MOVED FORWARD THIS RESOLUTION.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet2,432,827,542
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,466
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
8,094
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
IN , CA , OR
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDANIEL ISACKSEN JR20555 VICTOR PARKWAY   LIVONIA,MI48152 (734) 343-1389
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MICHAEL SLUBOWSKI......................................................................
DIRECTOR; PRESIDENT & CEO
54.00
.................
1.00
X   X       4,280,565 0 123,896
(2) BENJAMIN CARTER......................................................................
EVP, CHIEF OPERATING OFFICER
50.00
.................
5.00
      X     2,435,049 0 90,414
(3) REGINALD EADIE MD......................................................................
PRESIDENT & CEO, TH OF NEW ENGLAND
0.00
.................
55.00
        X   1,646,705 0 318,127
(4) DANIEL ROTH MD......................................................................
EVP, CHIEF CLINICAL OFFICER
54.00
.................
1.00
      X     1,595,821 0 307,088
(5) ROBERT CASALOU......................................................................
PRESIDENT & CEO, MICHIGAN REGION
0.00
.................
55.00
        X   1,745,307 0 72,401
(6) SHAWN VINCENT......................................................................
PRESIDENT & CEO, IL/IN REGION
0.00
.................
55.00
        X   1,325,153 0 285,386
(7) MARCUS SHIPLEY......................................................................
SVP, INNOVATION & CHIEF INFO OFFICER
49.00
.................
1.00
        X   1,420,916 0 49,433
(8) EDMUND HODGE......................................................................
EVP, CHIEF HUMAN RESOURCES OFFICER
53.00
.................
2.00
      X     1,362,452 0 54,921
(9) LINDA ROSS......................................................................
SECRETARY; EVP, CHIEF LEGAL OFFICER
52.00
.................
3.00
    X       1,331,598 0 81,444
(10) JAMES WOODWARD......................................................................
PRESIDENT & CEO MID-ATLANTIC REGION
0.00
.................
55.00
        X   1,250,608 0 68,858
(11) LOUIS FIERENS II......................................................................
EVP, ADMINISTRATIVE SERVICES
55.00
.................
0.00
      X     1,165,528 0 60,305
(12) JOHN CAPASSO......................................................................
EVP, CONTINUING CARE
50.00
.................
5.00
      X     1,084,373 0 72,273
(13) DANIEL ISACKSEN JR......................................................................
TREASURER; EVP, CFO
50.00
.................
5.00
    X       884,171 0 199,695
(14) CYNTHIA CLEMENCE......................................................................
TREAS/INT CFO/SVP/OPS CFO THR 7/21
54.00
.................
1.00
    X       975,894 0 54,235
(15) ANTOINETTE PRATT......................................................................
ASSISTANT TREAS; SVP, FIN REPORTING
49.00
.................
1.00
    X       668,917 0 64,052
(16) JOSHUA MOORE......................................................................
ASSISTANT SEC; VP MANAGING COUNSEL
48.00
.................
2.00
    X       371,088 0 46,525
(17) SALLY JEFFCOAT......................................................................
FORMER KEY EMPLOYEE
0.00
.................
0.00
          X 253,148 0 376
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) LARRY WARREN........................................................................
DIRECTOR; VICE CHAIR
8.00
.......................1.00
X   X       55,000 0 0
(19) GEORGE PHILIP JD........................................................................
DIRECTOR
4.00
.......................1.00
X           55,000 0 0
(20) DAVID SOUTHWELL........................................................................
DIRECTOR; CHAIR
8.00
.......................1.00
X   X       48,750 0 0
(21) BARRETT HATCHES PHD........................................................................
DIRECTOR
4.00
.......................1.00
X           41,250 0 0
(22) MARY CATHERINE KARL CPA........................................................................
DIRECTOR THROUGH 12/21
4.00
.......................1.00
X           41,250 0 0
(23) ROBERTA WAITE EDD........................................................................
DIRECTOR
4.00
.......................1.00
X           41,250 0 0
(24) JOSEPH BETANCOURT MD........................................................................
DIRECTOR
4.00
.......................1.00
X           35,000 0 0
(25) RITA BROGLEY........................................................................
DIRECTOR
4.00
.......................1.00
X           35,000 0 0
(26) KEVIN BARNETT DRPH........................................................................
DIRECTOR
4.00
.......................1.00
X           26,250 0 0
(27) JAMES BENTLEY PHD........................................................................
DIRECTOR THROUGH 12/21
4.00
.......................1.00
X           26,250 0 0
(28) COURTNEY LANG........................................................................
DIRECTOR AS OF 9/21
4.00
.......................1.00
X           8,750 0 0
(29) CARRIE RICH........................................................................
DIRECTOR AS OF 9/21
4.00
.......................1.00
X           8,750 0 0
(30) LINDA FALQUETTE RSM........................................................................
DIRECTOR
4.00
.......................1.00
X           0 0 0
(31) MARY FANNING RSM........................................................................
DIRECTOR
4.00
.......................1.00
X           0 0 0
(32) JOAN MARIE STEADMAN CSC........................................................................
DIRECTOR
4.00
.......................1.00
X           0 0 0
(33) VERONIQUE WIEDOWER CSC........................................................................
DIRECTOR
4.00
.......................1.00
X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 24,219,793 0 1,949,429
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet2,079
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
LEIDOS INC

11951 FREEDOM DR
RESTON,VA20190
IT CONSULTING 57,708,754
ENSEMBLE HEALTH PARTNERS

11541 REED HARTMAN HWY
BLUE ASH,OH45241
REVENUE CYCLE MANAGEMENT 41,062,262
MELILLO CONSULTING INC

285 DAVIDSON AVE STE 202
SOMERSET,NJ08873
SOFTWARE SERVICES 28,985,411
PRESIDIO NETWORKED SOLUTIONS

PO BOX 822169
PHILADELPHIA,PA19182
MAINTENANCE SERVICES 26,331,665
MICROSOFT CORP

C/O BOA LOCKBOX 1950 STEMMONS FWY
DALLAS,TX75207
SOFTWARE SERVICES 24,998,306
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet506
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 1,000,000
e Government grants (contributions)1e 1,547,204
f All other contributions, gifts, grants, and similar amounts not included above1f 260,452
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 2,807,656
 Program Service RevenueAmt Business Code
2a SUBSIDIARY FEES 551114 1,964,308,583 1,964,308,583    
b INTERCOMPANY PURCHASED SERVICES 551114 57,608,256 57,608,256    
c SPECIALTY PHARMACY 446110 34,723,196 32,439,185 2,284,011  
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 2,056,640,035
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 267,534,066   -489,495 268,023,561
4 Income from investment of tax-exempt bond proceedsMediumBullet 1,816     1,816
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 209,205 101,260,083 7a
b Less: cost or other basis and sales expenses 0 0 7b
c Gain or (loss) 209,205 101,260,083 7c
d Net gain or (loss).........MediumBullet 101,469,288     101,469,288
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a OTHER RELATED REVENUE 551114 62,307,241 62,307,241    
b INCOME UNDER SECTION 512(B)(17) 901301 269,057   269,057  
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 62,576,298
12 Total revenue. See instructions.....MediumBullet 2,491,029,159 2,116,663,265 2,063,573 369,494,665
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 11,500,910 11,500,910
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 78,461 78,461
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 17,497,289   17,497,289  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 253,524   253,524  
7 Other salaries and wages........ 720,001,110 720,001,110    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 108,099,018 105,498,082 2,600,936  
9 Other employee benefits ....... 107,250,414 104,669,896 2,580,518  
10 Payroll taxes ........... 48,682,907 47,511,563 1,171,344  
11 Fees for services (non-employees):        
a Management ...... 5,164,179   5,164,179  
b Legal ......... 5,058,529   5,058,529  
c Accounting ........... 5,752,330   5,752,330  
d Lobbying ........... 225,000   225,000  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 795,000   795,000  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 180,642,598 180,642,598    
12 Advertising and promotion .... 2,955,144 2,955,144    
13 Office expenses ....... 50,470,185 50,470,185    
14 Information technology ...... 338,230,466 338,230,466    
15 Royalties ..        
16 Occupancy ........... 9,018,942 9,018,942    
17 Travel ............ 27,890,504 27,890,504    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 2,799,602 2,799,602    
20 Interest ........... 213,354,124 213,354,124    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 161,913,063 161,913,063    
23 Insurance ... 274,789,676 274,789,676    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a EQUIPMENT MAINTENANCE 128,035,390 128,035,390    
b PHARMACY COGS 34,239,636 34,239,636    
c SUBSCRIPTIONS & DUES 9,506,864 9,506,864    
d UBI TAXES 1,850,000   1,850,000  
e All other expenses 9,721,326 9,721,326    
25 Total functional expenses. Add lines 1 through 24e 2,475,776,191 2,432,827,542 42,948,649 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 77,048,453 1 171,652,238
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 60,832,992 4 75,148,972
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 5,396,630,708 7 5,200,817,350
8 Inventories for sale or use ............ 73,695,133 8 67,548,615
9 Prepaid expenses and deferred charges ...... 400,406,108 9 177,447,589
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,806,193,773
b Less: accumulated depreciation 10b 916,771,400 805,200,194 10c 889,422,373
11 Investments—publicly traded securities . 2,529,462,539 11 2,712,095,818
12 Investments—other securities. See Part IV, line 11 ..... 1,102,676,161 12 1,417,873,653
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 891,906,556 15 678,089,188
16 Total assets. Add lines 1 through 15 (must equal line 33)... 11,337,858,844 16 11,390,095,796
Liabilities 17 Accounts payable and accrued expenses ..... 1,183,333,069 17 1,158,913,591
18 Grants payable ...   18  
19 Deferred revenue ......... 300,000 19 425,997
20 Tax-exempt bond liabilities ......... 4,796,785,799 20 4,923,551,178
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .. 99,993,556 24 99,692,506
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 3,879,587,901 25 4,146,018,500
26 Total liabilities. Add lines 17 through 25.. 9,960,000,325 26 10,328,601,772
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,377,689,762 27 1,061,374,379
28 Net assets with donor restrictions ........... 168,757 28 119,645
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,377,858,519 32 1,061,494,024
33 Total liabilities and net assets/fund balances ........ 11,337,858,844 33 11,390,095,796
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
2,491,029,159
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
2,475,776,191
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
15,252,968
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,377,858,519
5
Net unrealized gains (losses) on investments ...............
5
-411,667,729
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
80,050,266
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,061,494,024
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................42
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) CATHOLIC HEALTH MINISTRIES
 
000000000 1 Yes   0 0
(B) BAUM HARMON MERCY HOSPITAL
 
421500277 3   No 0 0
(C) DILEY RIDGE MEDICAL CENTER
 
342032340 3   No 0 0
(D) GOOD SAMARITAN HOSPITAL INC
 
261720984 3   No 0 0
(E) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
 
363332852 3   No 0 0
(F) GOTTLIEB MEMORIAL HOSPITAL
 
362379649 3   No 0 0
(G) HOLY CROSS HEALTH INC
 
520738041 3   No 102,310 0
(H) HOLY CROSS HOSPITAL INC
 
590791028 3   No 1,352,180 0
(I) JOHNSON MEMORIAL HOSPITAL INC
 
475676956 3   No 0 0
(J) LOYOLA UNIVERSITY MEDICAL CENTER
 
364015560 3   No 871 0
(K) MERCY CARE CENTER
 
853904921 3   No 0 0
(L) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
 
231352191 3   No 305,528 0
(M) MERCY HEALTH PARTNERS
 
382589966 3   No 27,125 0
(N) MERCY HEALTH SERVICES - IOWA CORP
 
311373080 3   No 3,674 0
(O) MERCY MEDICAL CENTER - CLINTON INC
 
421336618 3   No 0 0
(P) MERCY MEDICAL CORPORATION
 
636002215 10   No 0 0
(Q) MOUNT CARMEL HEALTH SYSTEM
 
311439334 3   No 203,810 0
(R) MOUNT SINAI REHABILITATION HOSPITAL INC
 
061422973 3   No 0 0
(S) NAZARETH HOSPITAL
 
232794121 3   No 0 0
(T) SAINT AGNES MEDICAL CENTER
 
941437713 3   No 260,000 0
(U) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
 
271790052 3   No 27,000 0
(V) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
 
820200896 3   No 0 0
(W) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
 
271789847 3   No 142,000 0
(X) SAINT ALPHONSUS REGIONAL MEDICAL CENTER
 
820200895 3   No 3,877 0
(Y) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
 
060646813 3   No 275,000 0
(Z) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
 
351142669 3   No 0 0
(AA) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
 
350868157 3   No 168,968 0
(AB) SAINT MARY'S HOSPITAL INC
 
060646844 3   No 0 0
(AC) SAMARITAN HOSPITAL
 
141338544 3   No 0 0
(AD) ST FRANCIS HOSPITAL INC
 
510064326 3   No 277,500 0
(AE) ST FRANCIS MEDICAL CENTER TRENTON NJ
 
223431049 3   No 140,570 0
(AF) ST JOSEPH MERCY CHELSEA INC
 
824757260 3   No 30,000 0
(AG) ST JOSEPH'S HOSPITAL HEALTH CENTER
 
150532254 3   No 90,000 0
(AH) ST MARY MEDICAL CENTER
 
231913910 3   No 161,173 0
(AI) ST MARY'S HEALTH CARE SYSTEM INC
 
580566223 3   No 35,626 0
(AJ) ST MARY'S SACRED HEART HOSPITAL INC
 
473752176 3   No 0 0
(AK) ST PETER'S HOSPITAL
 
141348692 3   No 0 0
(AL) SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
 
141338386 3   No 0 0
(AM) THE MERCY HOSPITAL INC
 
043398280 3   No 447,000 0
(AN) TRINITY CONTINUING CARE SERVICES
 
382559656 10   No 14,099 0
(AO) TRINITY HEALTH - MICHIGAN
 
382113393 3   No 3,363,852 0
(AP) TRINITY HOME HEALTH SERVICES
 
382621935 10   No 230,693 0
Total
42
7,662,856 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
Yes
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
Yes
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described on 11a above?
11b
 
No
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2021
(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2022. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
SCHEDULE A, PART I, LINE 12G (II), EIN: CATHOLIC HEALTH MINISTRIES IS AN INSTRUMENTALITY OF THE ROMAN CATHOLIC CHURCH AND AS SUCH DOES NOT HAVE A FEDERAL EIN.
SCHEDULE A, PART I, LINE 12G (VI): TRINITY HEALTH CORPORATION PROVIDES HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION A, LINE 1: CATHOLIC HEALTH MINISTRIES IS LISTED BY NAME IN TRINITY HEALTH CORPORATION'S GOVERNING DOCUMENTS. TRINITY HEALTH CORPORATION'S OTHER SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN THE GOVERNING DOCUMENTS, BUT ARE DESIGNATED BY PURPOSE. THE PURPOSE OF TRINITY HEALTH CORPORATION AS STATED IN ITS GOVERNING DOCUMENTS IS TO ADVANCE, PROMOTE, SUPPORT, AND CARRY OUT THE PURPOSES OF CATHOLIC HEALTH MINISTRIES. ITS SPECIFIC PURPOSES ARE TO ENGAGE IN THE DELIVERY OF AND TO CARRY ON, SPONSOR OR PARTICIPATE, DIRECTLY OR THROUGH ONE OR MORE AFFILIATES, IN ANY ACTIVITIES RELATED TO THE DELIVERY OF HEALTH CARE AND HEALTH CARE RELATED SERVICES AS APPROPRIATE IN CARRYING OUT THE HEALTH CARE MISSION OF CATHOLIC HEALTH MINISTRIES. SUCH ACTIVITIES INCLUDE THE SUPPORT AND ASSISTANCE OF AFFILIATES TO ACCOMPLISH THE FOREGOING PURPOSES. THE SUPPORTED ORGANIZATIONS LISTED IN PART I, LINE 12 ARE AFFILIATES OF TRINITY HEALTH CORPORATION AND QUALIFY AS SEC. 509(A)(1 AND/OR 2) PUBLIC CHARITIES, AND SHARE THE EXEMPT PURPOSES OF TRINITY HEALTH CORPORATION.
SCHEDULE A, PART IV, SECTION A, LINE 2: CATHOLIC HEALTH MINISTRIES DOES NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1); IT IS NOT REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS BECAUSE IT IS A CHURCH. EACH SUPPORTED ORGANIZATION EITHER HAS AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1 AND/OR 2), OR HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY (OCD). IT HAS BEEN DETERMINED THAT THOSE ORGANIZATIONS LISTED IN THE OCD ARE PUBLIC CHARITIES BECAUSE THEY ARE HOSPITALS AS DESCRIBED UNDER SECTION 509(A)(1) AND SECTION 170(B)(1)(A)(III) OR ARE ORGANIZATIONS DESCRIBED UNDER SECTION 509(A)(2).
SCHEDULE A, PART IV, SECTION A, LINE 6: TRINITY HEALTH CORPORATION PROVIDED GRANTS TO UNRELATED CHARITIES THAT CARRY OUT THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION C, LINE 1: CATHOLIC HEALTH MINISTRIES AND TRINITY HEALTH CORPORATION SHARE THE SAME BOARD. TRINITY HEALTH CORPORATION IS THE SYSTEM PARENT OF THE OTHER SUPPORTED ORGANIZATIONS. FOR THOSE SUPPORTED ORGANIZATIONS THAT ARE FIRST-TIER SUBSIDIARIES, TRINITY HEALTH CORPORATION HAS THE POWER TO APPOINT ALL PERSONS TO THE BOARD OF THE SUPPORTED ORGANIZATION, AS WELL AS THE POWER TO APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALES OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. FOR THOSE SUPPORTED ORGANIZATIONS THAT ARE NON FIRST-TIER SUBSIDIARIES, TRINITY HEALTH CORPORATION HAS RESERVED POWERS THAT INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION.
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 3
Name of organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2021)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
Yes
 
 
e
Publications, or published or broadcast statements? ...........................................................
Yes
 
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
225,000
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
 
i
Other activities? ...................................................................................................................
Yes
 
900,000
j
Total. Add lines 1c through 1i ....................................................................................................
1,125,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: INSPIRED BY TRINITY HEALTH'S MISSION, TRINITY HEALTH ADVOCACY LEVERAGES MINISTRY EXPERIENCES TO INFLUENCE POLICY SOLUTIONS THAT TRANSFORM THE HEALTH CARE SYSTEM. AS A CATHOLIC HEALTH MINISTRY, WE ARE CALLED BOTH TO SERVE AND TO TRANSFORM. WE SERVE PEOPLE AND COMMUNITIES IN NEED, ESPECIALLY THE POOR AND UNDERSERVED. WE ALSO SEEK TO TRANSFORM SYSTEMS OF CARE AND ADVANCE POLICIES THAT PROMOTE JUSTICE FOR ALL. TRINITY HEALTH IS ONE OF THE LARGEST NOT-FOR-PROFIT, CATHOLIC HEALTH CARE SYSTEMS IN THE NATION, SERVING DIVERSE COMMUNITIES ACROSS 25 STATES. WE ADVOCATE FOR PUBLIC POLICIES THAT PROMOTE CARE FOR THE COMMON GOOD INCLUDING EXPANDING HEALTH CARE COVERAGE AND CARE, INVESTING IN PUBLIC HEALTH, PAYING FOR HIGH-VALUE CARE, AND IMPROVING THE HEALTH OF COMMUNITIES. OUR 2021-2022 POLICY PRIORITIES INCLUDE: - EVERYONE SHOULD HAVE ACCESS TO HIGH-QUALITY, COMPREHENSIVE HEALTH CARE. THIS INCLUDES PROTECTING MEDICAID EXPANSION, HEALTH INSURANCE MARKETPLACE PRODUCTS, AND OTHER ACCESS CREATED BY THE AFFORDABLE CARE ACT (ACA) AS WELL AS INNOVATING RURAL HEALTH FINANCING, EXPANDING TELEHEALTH ACCESS, STRENGTHENING THE HEALTH CARE WORKFORCE AND CREATING NEW ENTRY POINTS FOR IMMIGRANTS. - AS COVID-19 DEMONSTRATES, INVESTMENT IN PUBLIC HEALTH IS CRITICAL TO OUR NATION'S SAFETY AND ECONOMIC HEALTH. ONGOING COVID-19 FINANCIAL AND REGULATORY RELIEF, NEW INVESTMENTS IN PUBLIC HEALTH AND POLICIES PROMOTING BEHAVIORAL HEALTH COORDINATION ARE CRITICAL. - IMPROVING THE HEALTH OF COMMUNITIES, INCLUDING ACHIEVING RACIAL EQUITY, IS THE RIGHT THING TO DO. ADVANCING RACIAL EQUITY, PRESERVING THE 340B DRUG SAVINGS PROGRAM, ATTENTION TO MATERNAL HEALTH, AND EXPANDING ACCESS TO HOUSING AND FOOD WILL IMPROVE HEALTH. - AFFORDABLE, HIGH-VALUE HEALTH CARE IS ACHIEVABLE WHEN WE EXPAND VALUE-BASED CARE MODELS, DEMAND COMMERCIAL PAYER FAIRNESS, ADDRESS OUTDATED REGULATIONS AND EXPAND THE PROGRAM FOR ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). - SUSTAINING THE MINISTRY REQUIRES FAIR PAYMENT FROM MEDICARE, MEDICAID AND COMMERCIAL PAYERS; PRESERVATION OF THE 340B DRUG SAVINGS PROGRAM; ENDING SURPRISE BILLING; REGULATORY RELIEF; REALISTIC PRICE TRANSPARENCY; AN APPRECIATION FOR SOCIAL CARE; AND STRENGTHENING CYBER SECURITY. ADVOCACY EFFORTS, INCLUDING BUT BROADER THAN LOBBYING, PERFORMED BY TRINITY HEALTH CORPORATION INCLUDE: -PROVIDING COMMENTS ON PROPOSED RULES. -ENCOURAGING COLLEAGUES TO SEND EMAILS TO PUBLIC OFFICIALS. -MAINTAINING A WEBSITE TO ENGAGE COLLEAGUES IN GRASSROOTS ADVOCACY. -EDUCATING COLLEAGUES ON ADVOCACY PRIORITIES. -COLLABORATING WITH ADVOCACY LIAISONS FROM EACH MINISTRY OF TRINITY HEALTH. -ENGAGING A LOBBYIST IN WASHINGTON, D.C. -MEETING WITH LEGISLATORS IN WASHINGTON, D.C. -JOINING LEGISLATORS FOR VISITS AT REGIONAL HEALTH MINISTRIES. -COLLABORATING WITH MEMBERSHIP ORGANIZATIONS - CATHOLIC HEALTH ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION TO FURTHER SHARED POLICY PRIORITIES. -DEVELOPING POLICY RECOMMENDATIONS AND SUPPORTING MATERIALS TO EDUCATE PUBLIC OFFICIALS. -COLLABORATING WITH OTHER LIKE-MINDED INTEREST GROUPS.
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   9,782,872 9,782,872
b Buildings ....   9,803,196 4,070,586 5,732,610
c Leasehold improvements   5,680,852 3,094,360 2,586,492
d Equipment ....   1,565,631,586 909,606,454 656,025,132
e Other .....   215,295,267   215,295,267
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 889,422,373
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES
353,837,292 F

(B) INTEREST RATE SWAP AGREEMENTS
2,524,485 F

(C) EQUITY METHOD INVESTMENTS
884,593,230 C

(D) HEDGE FUNDS
176,918,646 F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 1,417,873,653
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)MISCELLANEOUS RECEIVABLES 25,361,938
(2)INTERCOMPANY ACCOUNTS RECEIVABLE 308,273,208
(3)OTHER LONG-TERM ASSETS 18,513,200
(4)INVESTMENT IN UNCONSOL. AFFILIATES 110,820,439
(5)OPERATING LEASE RIGHT-OF-USE ASSETS 47,609,822
(6)INTERCOMPANY OTHER ASSETS 167,510,581
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 678,089,188
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 4,146,018,500
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN     PROGRAM SERVICES WHOLLY-OWNED FOREIGN INSURANCE COMPANY 93,386,741
CENTRAL AMERICA AND THE CARIBBEAN     INVESTMENTS   1,027,801,196
EAST ASIA AND THE PACIFIC     INVESTMENTS   503,583,655
EUROPE     INVESTMENTS   566,273,888
NORTH AMERICA     INVESTMENTS   126,243,601
SOUTH AMERICA     INVESTMENTS   50,399,650
SUB-SAHARAN AFRICA     INVESTMENTS   17,725,703
MIDDLE EAST AND NORTH AFRICA     INVESTMENTS   25,345,861
RUSSIA AND THE NEIGHBORING STATES     INVESTMENTS   9,078,062
SOUTH ASIA     INVESTMENTS   42,782,119
           
           
           
           
           
           
           
3a Sub-total .... 0 0 2,410,760,295
b Total from continuation sheets to Part I ... 0 0 51,860,181
c Totals (add lines 3a and 3b) 0 0 2,462,620,476
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2021
Schedule F (Form 990) 2021
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART III ACCOUNTING METHOD:  
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2021
Additional Data


Software ID:  
Software Version:  




Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) CODY ROUGE COMMUNITY ACTION ALLIANCE
19321 WEST CHICAGO ROAD STE 105
DETROIT,MI48228
27-1841875 501(C)(3) 100,000 0     COMMUNITY WELFARE
(2) CIVICA FOUNDATION
2912 W EXECUTIVE PARKWAY STE 325
LEHI,UT84043
84-4514428 501(C)(3) 2,500,000 0     COMMUNITY WELFARE
(3) HEALTHCARE ANCHOR NETWORK INC
2202 18TH ST NW STE 317
WASHINGTON,DC20009
86-2147253 501(C)(3) 120,000 0     COMMUNITY WELFARE
(4) THE RESURRECTION PROJECT
1818 S PAULINA STREET
CHICAGO,IL60608
36-3576073 501(C)(3) 10,000 0     COMMUNITY WELFARE
(5) MERCY HOUSING INC
1600 BROADWAY STE 2000
DENVER,CO80202
47-0646706 501(C)(3) 10,000 0     COMMUNITY WELFARE
(6) LOYOLA UNIV CHICAGO STRITCH SCHOOL OF MEDICINE
820 N MICHIGAN AVENUE
CHICAGO,IL60611
36-1408475 501(C)(3) 60,000 0     COMMUNITY WELFARE
(7) INTERFAITH CENTER ON CORPORATE RESPONSIBILITY
475 RIVERSIDE DR STE 1842
NEW YORK,NY10115
13-3235906 501(C)(3) 20,000 0     COMMUNITY WELFARE
(8) GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY
LIVONIA,MI48152
42-1253527 501(C)(3) 500,000 0     COMMUNITY WELFARE
(9) HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD
SILVER SPRING,MD20910
52-0738041 501(C)(3) 102,310 0     COMMUNITY WELFARE - IT STARTS HERE AND COMMUNITY GRANTS
(10) HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY
FT LAUDERDALE,FL33308
59-0791028 501(C)(3) 1,352,180 0     COMMUNITY WELFARE - INNOVATION, IT STARTS HERE, TRANSFORMING COMM & COMMUNITY GRANTS
(11) LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-3342448 501(C)(3) 433,804 0     COMMUNITY WELFARE - IT STARTS HERE, TRANSFORMING COMMUNITIES & COMMUNITY GRANTS
(12) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
23-1352191 501(C)(3) 305,528 0     COMMUNITY WELFARE - IT STARTS HERE, TRANSFORMING COMM, COMMUNITY & SAFETY GRANTS
(13) MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD
MUSKEGON,MI49444
38-2589966 501(C)(3) 27,125 0     COMMUNITY WELFARE - COMMUNITY GRANT
(14) MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
31-1471229 501(C)(4) 45,250 0     COMMUNITY WELFARE - INNOVATION GRANT
(15) MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
31-1439334 501(C)(3) 203,810 0     COMMUNITY WELFARE - INNOVATION AND IT STARTS HERE GRANTS
(16) SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVENUE
FRESNO,CA93720
94-1437713 501(C)(3) 260,000 0     COMMUNITY WELFARE - IT STARTS HERE, TRANSFORMING COMM & COMMUNITY GRANTS
(17) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD
BAKER CITY,OR97814
27-1790052 501(C)(3) 27,000 0     COMMUNITY WELFARE - COMMUNITY GRANT
(18) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET
ONTARIO,OR97914
27-1789847 501(C)(3) 142,000 0     COMMUNITY WELFARE - COMMUNITY GRANT
(19) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET
HARTFORD,CT06105
06-0646813 501(C)(3) 275,000 0     COMMUNITY WELFARE - IT STARTS HERE & TRANSFORMING COMMUNITIES GRANTS
(20) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
35-0868157 501(C)(3) 168,968 0     COMMUNITY WELFARE - IT STARTS HERE AND COMMUNITY GRANTS
(21) ST FRANCIS HOSPITAL INC
PO BOX 2500
WILMINGTON,DE19805
51-0064326 501(C)(3) 277,500 0     COMMUNITY WELFARE - IT STARTS HERE, TRANSFORMING COMMUNITIES & COMMUNITY GRANTS
(22) ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE
TRENTON,NJ08629
22-3431049 501(C)(3) 140,570 0     COMMUNITY WELFARE - IT STARTS HERE AND SAFETY GRANTS
(23) ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST
CHELSEA,MI48118
82-4757260 501(C)(3) 30,000 0     COMMUNITY WELFARE - COMMUNITY GRANT
(24) ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVE
SYRACUSE,NY13203
15-0532254 501(C)(3) 90,000 0     COMMUNITY WELFARE - SAFETY GRANT
(25) ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-1913910 501(C)(3) 161,173 0     COMMUNITY WELFARE - COMMUNITY GRANTS
(26) ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET
ATHENS,GA30606
58-0566223 501(C)(3) 35,626 0     COMMUNITY WELFARE - SAFETY GRANT
(27) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD
ALBANY,NY12208
46-1177336 501(C)(3) 34,000 0     COMMUNITY WELFARE - IT STARTS HERE GRANT
(28) THE MERCY HOSPITAL INC
114 WOODLAND STREET
HARTFORD,CT06105
04-3398280 501(C)(3) 447,000 0     COMMUNITY WELFARE - IT STARTS HERE, TRANSFORMING COMMUNITIES & COMMUNITY GRANTS
(29) TRINITY CONTINUING CARE SERVICES
PO BOX 9184
FARMINGTON HILLS,MI48333
38-2559656 501(C)(3) 14,099 0     COMMUNITY WELFARE - SAFETY GRANT
(30) TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY
LIVONIA,MI48152
38-2113393 501(C)(3) 3,363,852 0     IT STARTS HERE, INNOV, TRANSFORMING COMM & SAFETY GRANTS & SUPPORT FOR MERCY PRIMARY CARE
(31) TRINITY HOME HEALTH SERVICES
PO BOX 9184
FARMINGTON HILLS,MI48333
38-2621935 501(C)(3) 230,693 0     COMMUNITY WELFARE - INNOVATION GRANT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
30
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2021

Schedule I (Form 990) 2021
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) EMERGENCY HOUSING ASSISTANCE FROM THE COLLEAGUE ASSISTANCE FUND 12 24,052      
(2) MISCELLANEOUS EMERGENCY ASSISTANCE FROM THE COLLEAGUE ASSISTANCE FUND 21 33,778      
(3) EMERGENCY UTILITY ASSISTANCE FROM THE COLLEAGUE ASSISTANCE FUND 13 20,631      
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: DONATIONS MADE BY TRINITY HEALTH CORPORATION TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. TRINITY HEALTH HAS ESTABLISHED THE FOLLOWING GRANT PROGRAMS: INNOVATION GRANTS - MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY FOR GRANTS TO SUPPORT INNOVATIVE MODELS THAT ADDRESS INPATIENT AND OUTPATIENT SERVICES, NEW PRODUCTS, AUTOMATION, OR TELEMEDICINE. IT STARTS HERE GRANTS - TRINITY HEALTH GRANTS FUNDS TO MEMBER ORGANIZATIONS TO SUPPORT COMMUNITY ENGAGEMENT STRATEGIES THAT PROMOTE COVID-19 VACCINE AND VACCINATION EVENTS. THE GOAL OF THE PROGRAM IS TO PROMOTE TRUST IN THE COVID-19 VACCINE AND BUILD COMMUNITY CAPACITY TO VACCINATE VULNERABLE POPULATIONS AND COMMUNITIES OF COLOR. TRANSFORMING COMMUNITIES INITIATIVE GRANTS - THIS IS AN INNOVATIVE FUNDING AND TECHNICAL ASSISTANCE INITIATIVE PARTNERING TRINITY HEALTH, ITS HEALTH MINISTRIES, COMMUNITY-BASED ORGANIZATIONS, AND RESIDENTS TO ADVANCE HEALTH AND RACIAL EQUITY IN COMMUNITIES EXPERIENCING HIGH POVERTY AND OTHER VULNERABILITIES. EACH TRINITY HEALTH MINISTRY RECEIVING FUNDING COLLABORATES WITH A MULTI-SECTOR COLLABORATIVE TO DEVELOP AND IMPLEMENT EVIDENCE-BASED STRATEGIES THAT ADVANCE HEALTH AND RACIAL EQUITY THROUGH ADDRESSING AT LEAST ONE ROOT CAUSE OF POOR HEALTH IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IMPLEMENTATION STRATEGY. SAFETY GRANTS - MEMBER ORGANIZATIONS OF THE TRINITY HEALTH SYSTEM MAY APPLY FOR GRANTS TO FUND PROJECTS DESIGNED TO MITIGATE LIABILITY RISK, IMPROVE PATIENT SAFETY AND THE QUALITY OF CARE PROVIDED TO PATIENTS AND PROTECT THE SAFETY AND HEALTH OF TRINITY HEALTH COLLEAGUES. COMMUNITY GRANTS - THESE GRANTS PROVIDED FUNDING FOR SPECIAL PROJECTS OUTSIDE THE COURSE OF NORMAL OPERATIONS TO SUPPORT A CHNA COMMUNITY NEED OR EMERGING NEED IN ALIGNMENT WITH LOCAL COMMUNITY HEALTH AND WELL BEING STRATEGY. EXAMPLES OF THESE ARE HEALTH AND RACIAL EQUITY, COVID-19 VACCINE SUPPORT, ACCESS TO HEALTH CARE, FOOD ACCESS, MENTAL HEALTH, TRANSPORTATION, COMMUNITY HEALTH WORKER CAPACITY, COMMUNITY ENGAGEMENT, AND HOUSING. THE COLLEAGUE EMERGENCY ASSISTANCE PROGRAM MAKES FUNDS AVAILABLE TO COLLEAGUES WHO FACE A FINANCIAL HARDSHIP IN THEIR IMMEDIATE HOUSEHOLD. PAYMENT IS TYPICALLY MADE DIRECTLY TO THE VENDOR (LANDLORD, UTILITY COMPANY, ETC.) AND NOT TO THE INDIVIDUAL. THE PROGRAM IS FUNDED BY DONATIONS FROM COLLEAGUES.
Schedule I (Form 990) 2021



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MICHAEL SLUBOWSKI
DIRECTOR; PRESIDENT & CEO
(i)

(ii)
1,971,385
-------------
0
1,900,000
-------------
0
409,180
-------------
0
17,400
-------------
0
106,496
-------------
0
4,404,461
-------------
0
0
-------------
0
2BENJAMIN CARTER
EVP, CHIEF OPERATING OFFICER
(i)

(ii)
1,318,933
-------------
0
845,000
-------------
0
271,116
-------------
0
17,400
-------------
0
73,014
-------------
0
2,525,463
-------------
0
0
-------------
0
3REGINALD EADIE MD
PRESIDENT & CEO, TH OF NEW ENGLAND
(i)

(ii)
1,017,789
-------------
0
458,713
-------------
0
170,203
-------------
0
275,325
-------------
0
42,802
-------------
0
1,964,832
-------------
0
150,048
-------------
0
4DANIEL ROTH MD
EVP, CHIEF CLINICAL OFFICER
(i)

(ii)
861,506
-------------
0
502,944
-------------
0
231,371
-------------
0
267,315
-------------
0
39,773
-------------
0
1,902,909
-------------
0
212,729
-------------
0
5ROBERT CASALOU
PRESIDENT & CEO, MICHIGAN REGION
(i)

(ii)
1,053,686
-------------
0
472,500
-------------
0
219,121
-------------
0
17,400
-------------
0
55,001
-------------
0
1,817,708
-------------
0
0
-------------
0
6SHAWN VINCENT
PRESIDENT & CEO, IL/IN REGION
(i)

(ii)
893,643
-------------
0
388,682
-------------
0
42,828
-------------
0
244,694
-------------
0
40,692
-------------
0
1,610,539
-------------
0
23,927
-------------
0
7MARCUS SHIPLEY
SVP, INNOVATION & CHIEF INFO OFFICER
(i)

(ii)
862,313
-------------
0
389,250
-------------
0
169,353
-------------
0
13,050
-------------
0
36,383
-------------
0
1,470,349
-------------
0
0
-------------
0
8EDMUND HODGE
EVP, CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
756,691
-------------
0
454,679
-------------
0
151,082
-------------
0
13,050
-------------
0
41,871
-------------
0
1,417,373
-------------
0
0
-------------
0
9LINDA ROSS
SECRETARY; EVP, CHIEF LEGAL OFFICER
(i)

(ii)
734,738
-------------
0
428,274
-------------
0
168,586
-------------
0
13,050
-------------
0
68,394
-------------
0
1,413,042
-------------
0
0
-------------
0
10JAMES WOODWARD
PRESIDENT & CEO MID-ATLANTIC REGION
(i)

(ii)
763,099
-------------
0
324,450
-------------
0
163,059
-------------
0
13,050
-------------
0
55,808
-------------
0
1,319,466
-------------
0
0
-------------
0
11LOUIS FIERENS II
EVP, ADMINISTRATIVE SERVICES
(i)

(ii)
655,662
-------------
0
378,225
-------------
0
131,641
-------------
0
17,400
-------------
0
42,905
-------------
0
1,225,833
-------------
0
0
-------------
0
12JOHN CAPASSO
EVP, CONTINUING CARE
(i)

(ii)
592,410
-------------
0
355,637
-------------
0
136,326
-------------
0
21,750
-------------
0
50,523
-------------
0
1,156,646
-------------
0
0
-------------
0
13DANIEL ISACKSEN JR
TREASURER; EVP, CFO
(i)

(ii)
711,106
-------------
0
125,000
-------------
0
48,065
-------------
0
169,950
-------------
0
29,745
-------------
0
1,083,866
-------------
0
0
-------------
0
14CYNTHIA CLEMENCE
TREAS/INT CFO/SVP/OPS CFO THR 7/21
(i)

(ii)
512,649
-------------
0
322,562
-------------
0
140,683
-------------
0
21,750
-------------
0
32,485
-------------
0
1,030,129
-------------
0
0
-------------
0
15ANTOINETTE PRATT
ASSISTANT TREAS; SVP, FIN REPORTING
(i)

(ii)
397,167
-------------
0
182,941
-------------
0
88,809
-------------
0
21,750
-------------
0
42,302
-------------
0
732,969
-------------
0
0
-------------
0
16JOSHUA MOORE
ASSISTANT SEC; VP MANAGING COUNSEL
(i)

(ii)
295,954
-------------
0
73,750
-------------
0
1,384
-------------
0
17,400
-------------
0
29,125
-------------
0
417,613
-------------
0
0
-------------
0
17SALLY JEFFCOAT
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
253,148
-------------
0
0
-------------
0
376
-------------
0
253,524
-------------
0
249,827
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A THE FOLLOWING INDIVIDUALS RECEIVED TAX GROSS-UP PAYMENTS DURING CALENDAR 2021: DANIEL ISACKSEN, JR. - $9,919 JAMES WOODWARD - $2,148 THESE AMOUNTS WERE INCLUDED IN TAXABLE INCOME AND ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II.
PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2021. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: SALLY JEFFCOAT - $249,827 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2021. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2021, AND THEIR NON-VESTED BENEFITS FOR 2021 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2021 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN CAPASSO - $103,727 BENJAMIN CARTER - $227,500 ROBERT CASALOU - $183,750 CYNTHIA CLEMENCE - $125,441 REGINALD EADIE, MD - $150,048 LOUIS FIERENS II - $110,316 EDMUND HODGE - $132,615 ANTOINETTE PRATT - $71,144 LINDA ROSS - $124,913 DANIEL ROTH, MD - $212,729 MARCUS SHIPLEY - $151,375 MICHAEL SLUBOWSKI - $332,500 SHAWN VINCENT - $23,927 JAMES WOODWARD - $126,175 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2021 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: REGINALD EADIE, MD - $262,275 DANIEL ISACKSEN, JR - $161,250 DANIEL ROTH, MD - $254,265 SHAWN VINCENT - $231,644 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($290,000 FOR 2021). JOSHUA MOORE THERE WAS NO PAYOUT FOR 2021 FOR THIS PARTICIPANT. PART II, COLUMN B(II): EXECUTIVE MANAGEMENT EMPLOYED BY TRINITY HEALTH ARE COMPENSATED UNDER A MULTI-TIERED, GOAL-BASED PROGRAM WHICH INCLUDES BASE PAY AND A VARIABLE PORTION. THE VARIABLE PORTION IS REFERRED TO AS "AT RISK COMPENSATION". EACH OF THE ELIGIBLE MEMBERS OF EXECUTIVE MANAGEMENT IS ASSIGNED PERFORMANCE GOALS ALIGNED WITH ORGANIZATIONAL STRATEGIC GOALS. EACH GOAL HAS MINIMUM THRESHOLD CRITERIA, TARGET CRITERIA AND A MAXIMUM.
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number
35-1443425
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS FINANCE AUTHORITY
 
86-1091967 NONEAVAIL 10-20-2011 100,000,000 SEE PART VI - 2011AB   X   X   X
B MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PCF6 10-18-2010 56,625,000 SEE PART VI - 2010F   X   X   X
C MICHIGAN STATE HOSP FIN AUTHORITY
 
38-2889417 59465HKR6 11-13-2008 391,470,000 SEE PART VI - 2008C X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 455057QM4 11-13-2008 393,530,000 SEE PART VI - 2008D   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCB8 10-30-2013 45,735,000 SEE PART VI - 2013ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PES6 10-30-2013 103,910,000 SEE PART VI - 2013MD   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FK5 10-30-2013 87,245,000 SEE PART VI - 2013OH   X   X   X
NORTH CAROLINA MEDICAL CARE COMMISSION
 
52-1309402 65820PCY9 04-24-2008 30,475,000 SEE PART VI - 2008NC   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MCW2 01-09-2013 63,615,000 SEE PART VI - 2012B PA   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447PXQ9 10-30-2013 390,060,000 SEE PART VI - 2013MI X     X   X
GREENE COUNTY DEVELOPMENT AUTHORITY
 
58-2267017 394374AC6 01-09-2013 39,191,498 SEE PART VI - 2012 GA X     X   X
MASS HEALTH AND EDU FACILITIES AUTHORITY
 
04-2456011 57586CXY6 04-19-2007 51,475,000 SEE PART VI - 2007C   X   X   X
MONTGOMERY COUNTY HIGHER EDU AND HEALTH AUTHORITY
 
23-2447147 613603SA8 04-19-2007 17,135,000 SEE PART VI - 2007D   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 85230MBH6 04-19-2007 49,350,000 SEE PART VI - 2007F   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P8C8 03-12-2015 100,000,000 SEE PART VI - 2015MI FRN   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447P7A3 02-26-2015 641,315,083 SEE PART VI - 2015MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295WZ8 02-26-2015 198,740,466 SEE PART VI - 2015ID X     X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEU1 02-26-2015 172,864,507 SEE PART VI - 2015MD   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THB2 01-26-2016 309,066,409 SEE PART VI - 2016MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 451295YC7 01-26-2016 25,287,426 SEE PART VI - 2016ID   X   X   X
MONTGOMERY COUNTY MARYLAND
 
52-6000980 61336PEV9 01-26-2016 48,224,317 SEE PART VI - 2016MD   X   X   X
CONNECTICUT HEALTH AND EDU FACILITIES AUTHORITY
 
06-0806186 20774YYL5 01-26-2016 249,760,524 SEE PART VI - 2016CT   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447THG1 02-11-2016 263,795,000 SEE PART VI - 2016MI - 1,2,3,4   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TPQ0 01-19-2017 181,377,952 SEE PART VI - 2017MI X     X   X
MARYLAND HEALTH AND HIGHER EDU FACILITIES AUTHORITY
 
52-0936091 574218T52 01-19-2017 32,616,932 SEE PART VI - 2017MD   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCC6 01-19-2017 60,226,757 SEE PART VI - 2017ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FM1 01-19-2017 96,071,211 SEE PART VI - 2017OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TQV8 12-21-2017 952,628,773 SEE PART VI - A 2017 MI X     X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCF9 12-21-2017 49,302,119 SEE PART VI - A 2017 ID   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FP4 12-21-2017 121,176,734 SEE PART VI - A 2017 OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TUD3 02-14-2019 290,135,712 SEE PART VI - 2019 MI-1,2   X   X   X
IDAHO HEALTH FINANCE AUTHORITY
 
82-6051863 45129UCG7 02-14-2019 36,376,659 SEE PART VI - 2019 ID   X   X   X
ST MARY HOSPITAL AUTHORITY
 
23-1913910 792222FR7 02-14-2019 56,928,471 SEE PART VI - 2019 PA X     X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447TXH1 12-18-2019 222,861,503 SEE PART VI - 2019A MI   X   X   X
COUNTY OF FRANKLIN OHIO
 
31-6400067 353202FZ2 12-18-2019 127,137,827 SEE PART VI - 2019A OH   X   X   X
MICHIGAN FINANCE AUTHORITY
 
80-0596186 59447T2X0 01-25-2022 302,388,780 SEE PART VI - 2022AB   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 50,000,000 28,040,000 226,390,000 100,940,000
2 Amount of bonds legally defeased .............. 8,560,000 1,890,000 1,650,000 16,940,000
3 Total proceeds of issue .................. 100,000,000 56,625,061 391,470,000 393,533,259
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 105,000 161,271 1,909,289 1,915,051
8 Credit enhancement from proceeds .............       66,021
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 99,895,000 56,463,791 86,347,993 91,927,913
11 Other spent proceeds ............. 33,949,915 50,000,000 22,080,000 547,945,000
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2011 2010 2008 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X   X  
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, an advance refunding issue)? ........
  X   X   X   X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 2
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X X   X  
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?     X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.070 % 0.070 % 0.070 % 0.140 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0.010 % 0.120 % 0.040 % 0.010 %
6 Total of lines 4 and 5 ............. 0.070 % 0.070 % 0.070 % 0.140 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 7.490 %   1.570 % 0.440 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X       X   X  
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X X   X  
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X   X     X
c No rebate due? ......... X     X X   X  
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X   X   X X  
Schedule K (Form 990) 2021

Schedule K (Form 990) 2021
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider .......... MERRILL LYNCH
CAPITAL
MERRILL LYNCH
CAPITAL
 
 
MERRILL LYNCH
CAPITAL
c Term of hedge ......... 2160.0000000000 % 2160.0000000000 %   2160.0000000000 %
d Was the hedge superintegrated? ......   X   X       X
e Was the hedge terminated? ........   X   X       X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: ILLINOIS FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/11/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 01/25/2019 ISSUER NAME: GREENE COUNTY DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/19/2018 ISSUER NAME: MASS. HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MONTGOMERY COUNTY HIGHER EDU. AND HEALTH AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: ST. MARY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/21/2022 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/14/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 05/01/2020 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MONTGOMERY COUNTY MARYLAND DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: CONNECTICUT HEALTH AND EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/22/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/06/2021 ISSUER NAME: MICHIGAN FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: MARYLAND HEALTH AND HIGHER EDU. FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: IDAHO HEALTH FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022 ISSUER NAME: COUNTY OF FRANKLIN, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 03/18/2022
PART I, LINE (F) 2011AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN ILLINOIS. THE 2011AB BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2010F TO FINANCE CERTAIN CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES LOCATED AT VARIOUS LOCATIONS IN MICHIGAN. THE 2010F BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2008C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000E, 2000F, 2003B, 2003D, 2003E, 2005C, 2005G, 2005H OF PRIOR ISSUES, AND THE HACKLEY REFINANCING OF COMMERCIAL PAPER. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINES 10 AND 13 - REFUNDING DEBT ONLY 2008D - CUSIP NUMBERS 455057QM4 AND 455057QN2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUND SERIES 2000F, 2003C1, 2003C2, 2003H, 2004C1 REFINANCING OF COMMERCIAL PAPER, 2004C2 REFINANCING OF COMMERCIAL PAPER, 2005B, 2005I OF PRIOR ISSUES. THE 2008C BONDS AND 2008D BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN EACH RESPECTIVE FORM 8038. PART II, LINE 3 - TOTAL PROCEEDS INCLUDE MODEST INVESTMENT EARNINGS. 2013ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2013OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2008NC TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES IN MICHIGAN. REFUND PRIOR ISSUE FROM 7/15/1998 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2015 INFORMATION REGARDING THE 2012A NC CHE BONDS, 2010 NC CHE BONDS AND 2008 NC CHE BONDS ISSUED BY THE NORTH CAROLINA MEDICAL CARE COMMISSION HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. JOSEPH OF THE PINES FOR CERTAIN PRIOR TAX YEARS. 2012B PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR CERTAIN PRIOR TAX YEARS. 2013MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 1997, 2000, 2003B AND 2003D THE 2013 MI-1, 2013 MI-2, 2013 MI-3, 2013MI-4, 2013 MI-5, 2013ID, 2013MD AND 2013OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2013 MI-3 SERIES - 59447PXR7 2012 GA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2012 GA CHE BONDS AND THE 2012B PA CHE BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012 GA CHE BONDS ISSUED BY GREENE COUNTY DEVELOPMENT AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST MARY HEALTH CARE SYSTEM FOR CERTAIN PRIOR TAX YEARS 2007C TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. ADVANCE REFUNDING, 1998B AND 2002 PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2007C MA CHE, 2009 MA CHE AND 2010MA CHE BONDS ISSUED BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY HAS BEEN REPORTED IN THE FORM 990 SCHEDULE K OF SISTERS OF PROVIDENCE HEALTH SYSTEM, INC. FOR CERTAIN PRIOR TAX YEARS. 2007D REFINANCE EXISTING DEBT AND CAPITAL PROJECTS (2004C, ISSUED 12/14/04) THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2010B PA CHE BONDS, THE 2007D PA CHE BONDS AND THE 2004C CHE BONDS ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY AND THE 2012A PA CHE BONDS ISSUED BY THE SAINT MARY HOSPITAL AUTHORITY HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF MERCY SUBURBAN HOSPITAL FOR CERTAIN PRIOR TAX YEARS. 2007F PART IV, LINE 2C: DATE THE REBATE COMPUTATION WAS PERFORMED: 09/25/2012 THE 2007C MA CHE BONDS, 2007D PA CHE BONDS, AND 2007F PA CHE BONDS (TOGETHER WITH THE 2007E NJ CHE BONDS, WHICH WERE RETIRED PRIOR TO THE END OF THE TAX YEAR) ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE CODE. INFORMATION REGARDING THE 2012A PA CHE BONDS, THE 2012B PA CHE BONDS, THE 2010A PA CHE BONDS, THE 2009 PA CHE BONDS, THE 2007F PA CHE BONDS AND THE 2004B PA CHE BONDS ISSUED BY THE ST. MARY HOSPITAL AUTHORITY FOR CERTAIN PRIOR TAX YEARS HAS BEEN REPORTED IN FORM 990 SCHEDULE K OF ST. MARY MEDICAL CENTER FOR PRIOR TAX YEARS. 2015 MI FRN TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES.
PART I, LINE (F) -CONTINUED 2015MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2004B, 2006A, 2006B, 2008A MI, 2008B IN SPHP 2008A, SPHP 2008B, SPHP 2008C, SPHP 2008D, SPHP 2008E SPHP 2011. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008B ID THE 2015 MI, 2015ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2015MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2015 MI, 2015 ID, AND 2015 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2005A, 2005D, 2008A-1 MI, SJHHC 2010A, SJHHC 2010B, SJHHC 2010C, SJHHC 2010D, SJHHC 2012, SJHHC 2014A, SJHHC 2014B. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016CT TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI, 2016 ID, 2016 CT AND 2016 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2016MI - 1,2,3,4 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2016 MI-1, 2016 MI-2, 2016 MI-3 AND 2016 MI-4 BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2017MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2006A. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 5944TPR8 2017MD TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 574218T45 2017ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 45129UCD4 2017OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2017 MI, 2017 ID, 2017 OH AND 2017 MD BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. PART I, LINE C, ADDITIONAL CUSIP FOR 2017 MI SERIES - 353202FL3 A 2017 MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009A, 2010A PA, 2010B, 2010E, 2010 CT, 2011 IL, 2012A PA, 2012A FL. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. A 2017 OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE A 2017 MI, A 2017 ID, AND A 2017 OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 MI-1,2 TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2008A-1, 2009GA, 2009MA. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 ID TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019 PA TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2009PA, 2009STM. THE 2019 MI-1, 2019 MI-2, 2019 ID, AND 2019 PA BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A MI TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. 2019A OH TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. REFUNDED 2011B. THE 2019A MI AND 2019A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038.
PART I, LINE (F) - CONTINUED 2022AB TO FINANCE, REFINANCE OR REIMBURSE ALL OR A PORTION OF THE COSTS RELATED TO ADDITIONS, CONSTRUCTION AND IMPROVEMENTS TO AND EQUIPMENT FOR HOSPITALS AND OTHER HEALTH CARE FACILITIES. THE 2022A MI AND 2022A OH BONDS ARE TREATED AS A SINGLE "ISSUE" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE, AS REPORTED IN THE FORM 8038. OTHER NOTES IN ALL CASES, THE INFORMATION IN PART I (OTHER THAN LINES 14 AND 15) IS PROVIDED ON THE BASIS OF THE SERIES LISTED IN PART I, BUT THE INFORMATION IN PART I (LINES 14 AND 15 ONLY), PART II, PART III (TO THE EXTENT APPLICABLE), PART IV AND PART V IS PROVIDED ON THE BASIS OF THE "ISSUES" FOR CERTAIN PURPOSES OF SECTIONS 103 AND 141 THROUGH 150 OF THE INTERNAL REVENUE CODE. WITH RESPECT TO CERTAIN OF THE BOND ISSUES DESCRIBED IN PART I, THE ORGANIZATION SOLD CERTAIN BOND-FINANCED PROPERTY TO ANOTHER 501(C)(3) ORGANIZATION WITH THE EXPECTATION THAT THE SALE POSSIBLY COULD CAUSE THE RESPECTIVE BOND ISSUES TO VIOLATE THE PRIVATE USE RESTRICTIONS AND OWNERSHIP REQUIREMENT OF SECTION 145(A) OF THE CODE. ACCORDINGLY, THE ORGANIZATION HAS TAKEN AN ALTERNATIVE USE OF DISPOSITION PROCEEDS" REMEDIAL ACTION PURSUANT TO TREASURY REGULATIONS SECTIONS 1.141-12(E) AND 1.145-2 WITH RESPECT TO SUCH SALE. IN CONNECTION WITH SUCH REMEDIAL ACTIONS, THE ORGANIZATION HAS FILED WITH THE SERVICE SUPPLEMENTAL FORMS 8038 WITH RESPECT TO PORTIONS OF BOND ISSUES TREATED AS "REISSUED" UNDER SECTIONS 141, 145, 147, 149 AND 150 OF THE TREASURY REGULATIONS. SUCH "REISSUED" PORTIONS OF BOND ISSUES HAVE BEEN SEPARATELY REPORTED TO THE SERVICE IN SUPPLEMENTAL FORMS 8038 AND ARE NOT REPORTED IN THIS SCHEDULE K. TRINITY HAS TAKEN REMEDIAL ACTIONS WITH RESPECT TO CERTAIN DISPOSITIONS OF BOND-FINANCED PROPERTY TO OTHER 501(C)(3) ORGANIZATIONS. IN THE CASE OF BOND ISSUES THAT ARE PART NEW MONEY AND PART CURRENT REFUNDING, THE CURRENT REFUNDING PORTION MAY SEPARATELY MEET AN EXCEPTION FROM REBATE. IN SUCH CASES, HOWEVER, THE SEPARATE QUALIFICATION FOR A REBATE EXCEPTION FOR THE CURRENT REFUNDING PORTION IS NOT REPORTED IN LINE 2B, ALTHOUGH THE EXCEPTION IS REPORTED IN CASES OF BOND ISSUES CONSISTING ONLY OF CURRENT REFUNDING PORTIONS. IN THE CASE OF BONDS REPORTED AS ISSUED AS PART OF AN ADVANCE REFUNDING ISSUES, GROSS PROCEEDS IN THE REFUNDING ESCROW WERE INVESTED BEYOND AN APPLICABLE TEMPORARY PERIOD. SUCH INVESTMENTS ARE NOT SEPARATELY REPORTED IN PART IV, LINE 8.
Schedule K (Form 990) 2021

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SUBSTANTIAL CONTRIBUTOR
 
SUBSTANTIAL CONTRIBUTOR 33,260,192 DONOR PROVIDED GOODS/SERVICES TO TRINITY HEALTH   No
(2) SUBSTANTIAL CONTRIBUTOR
 
SUBSTANTIAL CONTRIBUTOR 5,176,902 DONOR PROVIDED GOODS/SERVICES TO TRINITY HEALTH   No
(3) SUBSTANTIAL CONTRIBUTOR
 
SUBSTANTIAL CONTRIBUTOR 3,829,091 DONOR PROVIDED GOODS/SERVICES TO TRINITY HEALTH   No
(4) SUBSTANTIAL CONTRIBUTOR
 
SUBSTANTIAL CONTRIBUTOR 4,404,410 DONOR PROVIDED GOODS/SERVICES TO TRINITY HEALTH   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS ORGANIZED ON A NON STOCK BASIS AS A CORPORATION GOVERNED BY A BOARD OF DIRECTORS WITH ONE CLASS OF DIRECTORS. TRINITY HEALTH CORPORATION'S SPONSOR IS CATHOLIC HEALTH MINISTRIES, A PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH. ALL PERSONS WHO ARE MEMBERS OF CATHOLIC HEALTH MINISTRIES ARE ALSO DIRECTORS OF TRINITY HEALTH CORPORATION. EACH DIRECTOR HOLDS OFFICE UNTIL HIS OR HER SUCCESSOR IS APPOINTED OR UNTIL HIS OR HER RESIGNATION OR REMOVAL.
FORM 990, PART VI, SECTION A, LINE 7B ACTION BY CATHOLIC HEALTH MINISTRIES (CHM) IS REQUIRED FOR THE FOLLOWING MATTERS: - ADOPT AND AMEND THE ARTICLES OF INCORPORATION OF TRINITY HEALTH CORPORATION (THC) - ADOPT AND APPROVE ANY AMENDMENTS TO THE BYLAWS OF THC - ADOPT AND APPROVE ANY CHANGES TO THE MISSION AND CORE VALUES OF THC AND THE FOUNDING PRINCIPLES OF CHM AND APPROVE MATTERS THAT AFFECT THE CATHOLIC IDENTITY OF THC - APPROVE THE SALE OR TRANSFER OF ANY PROPERTY OF THC, THE ALIENATION OF WHICH WOULD REQUIRE APPROVAL UNDER THE CANON LAW OF THE ROMAN CATHOLIC CHURCH - APPROVE THE MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THC - APPROVE THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THC - RATIFY THE APPOINTMENT AND REMOVAL OF THE CEO OF THC - RATIFY THE ELECTION OF THE CHAIR OF THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH CORPORATION IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE INTEGRITY AND AUDIT COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH CORPORATION HAS ADOPTED A GOVERNANCE POLICY WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH CORPORATION, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF TRINITY HEALTH CORPORATION AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH CORPORATION OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF TRINITY HEALTH CORPORATION (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF TRINITY HEALTH CORPORATION. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15 TRINITY HEALTH CORPORATION FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE CEO AND CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH CORPORATION ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19 TRINITY HEALTH CORPORATION MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, TRINITY HEALTH CORPORATION'S WEBSITE INCLUDES COPIES OF THE MOST RECENTLY FILED SCHEDULE H FORMS FILED BY ALL OF ITS HOSPITAL SUBSIDIARIES. TRINITY HEALTH CORPORATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1: TRINITY HEALTH CORPORATION HAS BOARD MEMBERS WHO ARE MEMBERS OF RELIGIOUS ORDERS, AND AS SUCH, HAVE TAKEN VOWS OF POVERTY. THESE RELIGIOUS SISTERS DO NOT RECEIVE COMPENSATION FOR THEIR SERVICES. INSTEAD, TRINITY HEALTH CORPORATION PAYS THE RELIGIOUS ORDER DIRECTLY FOR THE SERVICES RECEIVED. FOLLOWING ARE THE NAMES OF THE RELIGIOUS SISTERS, THE NAMES OF THEIR ORDERS, AND THE AMOUNTS PAID DIRECTLY TO THE ORDER: LINDA FALQUETTE, RELIGIOUS SISTERS OF MERCY - $35,000 MARY FANNING, RELIGIOUS SISTERS OF MERCY - $55,000 JOAN MARIE STEADMAN, CONGREGATION OF THE SISTERS OF THE HOLY CROSS - $55,000 VERONIQUE WIEDOWER, CONGREGATION OF THE SISTERS OF THE HOLY CROSS - $35,000
FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATES 331,966,737. CHANGE IN DEFERRED RETIREMENT COSTS -221,574,995. EQUITY LOSS IN UNCONSOLIDATED AFFILIATES -8,766,647. ASSET IMPAIRMENT -25,109,730. OTHER TRANSACTIONS 3,534,901.
FORM 990, PART XII, LINE 2: THE AUDITED FINANCIAL STATEMENTS OF TRINITY HEALTH INCLUDE THE PARENT ORGANIZATION AND ITS SUBSIDIARIES. THE FY22 CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES: TRINITY HEALTH TRINITY INFORMATION SERVICES HOLY CROSS SHARED SERVICES CHE TRINITY HEALTH CATHOLIC HEALTH EAST CHE TRINITY, INC. HOLY CROSS HEALTH SYSTEM CORPORATION
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
TRINITY HEALTH CORPORATION
 
Employer identification number

35-1443425
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) TRINITY HEALTH PHARMACY SERVICES LLC
20555 VICTOR PARKWAY
LIVONIA,MI48152
84-3130212
SPECIALTY PHARMACY DE 35,028,007 8,213,001 TRINITY HEALTH CORPORATION
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE

GRAND RAPIDS,MI49503
27-2491974
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2)ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325
GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(3)ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450170
HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(4)BAUM HARMON MERCY HOSPITAL
255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
42-1500277
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(5)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
255 NORTH WELCH AVENUE

PRIMGHAR,IA51245
26-2973307
FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(6)BEECHWOOD INC
2212 BURDETT AVE

TROY,NY12180
14-1651563
TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(7)BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET

PITTSBURGH,PA15219
25-1436685
HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(8)BEVERWYCK INC
40 AUTUMN DRIVE

SLINGERLANDS,NY12159
14-1717028
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(9)BRIGHTSIDE INC
114 WOODLAND STREET

HARTFORD,CT06105
04-2182395
HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC
 
Yes
 
(10)CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET

COHOES,NY12047
14-1701597
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(11)CATHERINE MCAULEY HEALTH SERVICES CORP
5315 ELLIOTT DR 102

YPSILANTI,MI48197
38-2507173
HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(12)CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY

LIVONIA,MI48152
GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A
 
No
(13)DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
34-2032340
HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(14)DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941
FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(15)DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271
FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(16)EAST NORRITON PHYSICIANS SERVICES INC
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2515999
HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(17)EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000

TROY,NY12180
14-1818568
HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(18)EMBRACING AGE INC
333 BUTTERNUT DRIVE

DEWITT,NY13214
46-1051881
PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(19)EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE

MALTA,NY12020
14-1795732
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC
 
Yes
 
(20)FARREN CARE CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
04-2501711
LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(21)FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500

WILMINGTON,DE19805
22-3008680
LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC
 
Yes
 
(22)GLACIER HILLS FOUNDATION
1200 EARHART RD

ANN ARBOR,MI48105
20-8072723
FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC
 
Yes
 
(23)GLACIER HILLS INC
1200 EARHART RD

ANN ARBOR,MI48105
38-1891500
SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(24)GLEN EDDY INC
1 GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(25)GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527
HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(26)GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY

GREENSBORO,GA30642
26-1720984
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(27)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE

MELROSE PARK,IL60160
36-3332852
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(28)GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE

MELROSE PARK,IL60160
74-3260011
FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A
 
No
(29)GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE

MELROSE PARK,IL60160
36-2379649
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(30)HAWTHORNE RIDGE INC
30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(31)HEART CENTER OF GREATER WATERBURY INC
114 WOODLAND STREET

HARTFORD,CT06105
83-0416893
MANAGEMENT CT 501(C)(3) LINE 12A, I N/A
 
No
(32)HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE

TROY,NY12180
14-1725101
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(33)HOLY CROSS CARENET INC
PO BOX 9184

FARMINGTON HILLS,MI48152
52-1945054
LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(34)HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD

SILVER SPRING,MD20910
20-8428450
FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC
 
Yes
 
(35)HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD

SILVER SPRING,MD20910
52-0738041
HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(36)HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791028
HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(37)HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
46-5421068
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(38)HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
81-2531495
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(39)HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
83-2256461
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(40)HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(41)HOSPICE OF NORTH IOWA
232 SECOND STREET SE

MASON CITY,IA50401
42-1173708
HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(42)HOSPICE OF SIOUXLAND
4300 HAMILTON BLVD

SIOUX CITY,IA51104
38-3320710
HOSPICE SERVICES IA 501(C)(3) LINE 12A, I N/A
 
No
(43)IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48106
38-3316559
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(44)JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
47-5676956
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(45)LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529
HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(46)LANGHORNE PHYSICIAN SERVICES INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699
HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(47)LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE

PENNSAUKEN,NJ08109
26-1854750
PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(48)LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET

WILMINGTON,DE19801
45-2569214
PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(49)LIFE ST FRANCIS CORPORATION
7500 K JOHNSON BOULEVARD

BORDENTOWN,NJ08505
22-2797282
PACE PROGRAM NJ 501(C)(3) LINE 10 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(50)LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD

FAYETTEVILLE,NC28304
27-2159847
PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(51)LIFE ST MARY
2500 NORTHGATE ROAD

TREVOSE,PA19053
26-2976184
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(52)LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE

MELROSE PARK,IL60160
47-4147171
TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER
 
Yes
 
(53)LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3342448
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(54)LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-4015560
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(55)LTC (EDDY) INC
2212 BURDETT AVE

TROY,NY12180
22-2564710
MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(56)MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY

LIVONIA,MI48152
91-1940902
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(57)MCAULEY CENTER INC
275 STEELE ROAD

WEST HARTFORD,CT06117
06-1058086
SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC
 
Yes
 
(58)MCAULEY MINISTRIES
3333 FIFTH AVENUE

PITTSBURGH,PA15213
94-3436142
GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(59)MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE

CHICAGO,IL60653
85-3904921
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(60)MERCY CARE FOUNDATION INC
424 DECATUR STREET

ATLANTA,GA30312
58-1448522
FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(61)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
23-1352191
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(62)MERCY COMMUNITY HEALTH INC
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-1492707
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(63)MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2325059
HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES
 
Yes
 
(64)MERCY FOUNDATION INC
2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3227350
FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(65)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
888 TERRACE STREET

MUSKEGON,MI49440
38-3321856
HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(66)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2829864
FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(67)MERCY HEALTH NETWORK INC
1449 NW 128TH ST BLDG 5

CLIVE,IA50325
42-1478417
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12C, III-FI N/A
 
No
(68)MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD

MUSKEGON,MI49444
38-2589966
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(69)MERCY HEALTH PLAN
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
22-2483605
MEDICAID MANAGED CARE PLAN PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(70)MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW

MASON CITY,IA50401
31-1373080
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(71)MERCY HEALTH SYSTEM OF CHICAGO
2525 SOUTH MICHIGAN AVENUE

CHICAGO,IL60616
36-3163327
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(72)MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST

CLINTON,IA52732
42-1316126
FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC
 
Yes
 
(73)MERCY HOME HEALTH
20555 VICTOR PARKWAY

LIVONIA,MI48152
23-1352099
HOME HEALTH SERVICES PA 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(74)MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2325058
MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(75)MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-2170152
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(76)MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100

WALKER,MI49544
20-3357131
FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(77)MERCY LIFE
1930 SOUTH BROAD STREET

PHILADELPHIA,PA19145
23-2840137
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(78)MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115
COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(79)MERCY LIFE OF ALABAMA
PO BOX 7957

MOBILE,AL36670
27-3163002
PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(80)MERCY LIFE INC
200 HILLSIDE CIRCLE

WEST SPRINGFIELD,MA01089
45-3086711
PACE PROGRAM MA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(81)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2627944
HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(82)MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST

CLINTON,IA52732
42-1336618
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(83)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
801 5TH STREET

SIOUX CITY,IA51102
14-1880022
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(84)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW

MASON CITY,IA50401
42-1229151
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(85)MERCY MEDICAL CORPORATION
PO BOX 7957

MOBILE,AL36670
63-6002215
PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(86)MERCY MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
45-4884805
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(87)MERCY SENIOR CARE INC
424 DECATUR STREET

ATLANTA,GA30312
58-1366508
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(88)MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET

ATLANTA,GA30312
27-2046353
TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(89)MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2719605
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(90)MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET

HARTFORD,CT06105
26-4033168
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(91)MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-1396763
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(92)MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1308555
COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(93)MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
25-1912781
HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(94)MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
87-3948434
MEDICARE HMO CT 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(95)MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
83-1422704
MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(96)MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
83-3278543
MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(97)MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1471229
MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(98)MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1439334
HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(99)MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1113966
FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(100)MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
22-2584082
FOUNDATION CT 501(C)(3) LINE 12C, III-FI N/A
 
No
(101)MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1422973
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(102)MOUNT ST JOSEPH
20555 VICTOR PARKWAY

LIVONIA,MI48152
01-0274998
LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(103)MUSKEGON COMMUNITY HEALTH PROJECT
565 W WESTERN AVENUE

MUSKEGON,MI49440
91-1932918
COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS
 
Yes
 
(104)NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2794121
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(105)NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
20-3261266
HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(106)NE PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2497355
HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(107)OAKLAND MERCY HOSPITAL
601 EAST 2ND STREET

OAKLAND,NE68045
20-8072234
HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(108)OAKLAND MERCY HOSPITAL FOUNDATION
601 E 2ND STREET

OAKLAND,NE68045
31-1678345
FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL
 
Yes
 
(109)OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1654603
COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A
 
No
(110)OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE

GUILDERLAND,NY12084
14-1743506
LONG TERM CARE NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(111)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET

HARTFORD,CT06105
45-4208896
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(112)PITTSBURGH MERCY HEALTH SYSTEM INC
3333 5TH AVENUE

PITTSBURGH,PA15213
25-1464211
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(113)PROBILITY THERAPY SERVICES
2058 S STATE STREET

ANN ARBOR,MI48104
20-2020239
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(114)PROFESSIONAL MED TEAM
965 FORK STREET

MUSKEGON,MI49442
38-2638284
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS
 
Yes
 
(115)RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
81-1807730
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(116)SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-1763712
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(117)SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713
HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(118)SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324
HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER
 
Yes
 
(119)SAINT ALPHONSUS DIVERSIFIED CARE INC
1055 NORTH CURTIS RD

BOISE,ID83706
94-3028978
HEALTH CARE SYSTEM SUPPORT ID 501(C)(3) LINE 12A, I SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
 
Yes
 
(120)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
 
Yes
 
(121)SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
20-2683560
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
 
Yes
 
(122)SAINT ALPHONSUS HEALTH SYSTEM INC
1055 N CURTIS ROAD

BOISE,ID83706
27-1929502
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(123)SAINT ALPHONSUS MEDICAL CENTER ONTARIO VOLUNTEERS
351 SW 9TH STREET

ONTARIO,OR97914
94-3059469
VOLUNTEER SERVICE AUXILIARY OR 501(C)(3) LINE 10 SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
 
Yes
 
(124)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052
HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(125)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE

NAMPA,ID83687
26-1737256
FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
 
Yes
 
(126)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE

NAMPA,ID83687
82-0200896
HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(127)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
27-1789847
HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(128)SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS RD

BOISE,ID83706
82-0200895
HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(129)SAINT FRANCIS EMERGENCY MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
45-1994612
HEALTH CARE SERVICES CT 501(C)(3) LINE 12B, II TRINITY HEALTH OF NEW ENGLAND PNO INC
 
Yes
 
(130)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0646813
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(131)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1008255
FOUNDATION CT 501(C)(3) LINE 7 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
 
Yes
 
(132)SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3129127
PACE PROGRAM IN 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(133)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
PO BOX 670

PLYMOUTH,IN46563
35-1142669
HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(134)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-0868157
HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(135)SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-1568821
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(136)SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET

ATLANTA,GA30312
58-1744848
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(137)SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET

ATLANTA,GA30312
58-1752700
HEALTH CARE SERVICES GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(138)SAINT JOSEPH'S TOWER INC
PO BOX 9184

FARMINGTON HILLS,MI48333
31-1040468
SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES - INDIANA INC
 
Yes
 
(139)SAINT MARY HOME INCORPORATED
2021 ALBANY AVENUE

WEST HARTFORD,CT06117
06-0646843
LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(140)SAINT MARY'S AMICARE HOME HEALTHCARE
1430 MONROE NW STE 120

GRAND RAPIDS,MI49505
38-3320700
HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(141)SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602
FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(142)SAINT MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
22-2528400
FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC
 
Yes
 
(143)SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-0646844
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(144)SAMARITAN CHILD CARE CENTER INC
2215 BURDETT AVE

TROY,NY12180
14-1710225
CHILD CARE SERVICES NY 501(C)(3) LINE 10 ST PETER'S HEALTH PARTNERS
 
Yes
 
(145)SAMARITAN HOSPITAL
2215 BURDETT AVE

TROY,NY12180
14-1338544
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(146)SENIOR CARE CONNECTION INC
1938 CURRY ROAD

SCHENECTADY,NY12303
14-1708754
PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(147)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD

CLIFTON PARK,NY12065
14-1756230
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(148)SIOUXLAND PARAMEDICS INC
PO BOX 3349

SIOUX CITY,IA51102
42-1185707
MEDICAL TRANSPORTATION SERVICES IA 501(C)(3) LINE 12A, I N/A
 
No
(149)SISTERS OF PROVIDENCE CARE CENTERS INC
114 WOODLAND STREET

HARTFORD,CT06105
22-2541103
LONG TERM CARE MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(150)SJHSJOC HOLDINGS INC
424 DECATUR STREET

ATLANTA,GA30312
47-2299757
HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(151)ST FRANCIS HOSPITAL INC
PO BOX 2500

WILMINGTON,DE19805
51-0064326
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(152)ST FRANCIS MEDICAL ASSOCIATES PA
601 HAMILTON AVENUE

TRENTON,NJ08629
83-2199054
HEALTH CARE SERVICES NJ 501(C)(3) LINE 3 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(153)ST FRANCIS MEDICAL CENTER FOUNDATION INC
601 HAMILTON AVENUE

TRENTON,NJ08629
52-1025476
FOUNDATION NJ 501(C)(3) LINE 7 ST FRANCIS MEDICAL CENTER TRENTON NJ
 
Yes
 
(154)ST FRANCIS MEDICAL CENTER TRENTON NJ
601 HAMILTON AVENUE

TRENTON,NJ08629
22-3431049
HEALTH CARE AND HOSPITAL SERVICES NJ 501(C)(3) LINE 3 MAXIS HEALTH SYSTEM
 
Yes
 
(155)ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
22-3127184
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(156)ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST

CHELSEA,MI48118
82-4757260
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(157)ST JOSEPH OF THE PINES INC
100 GOSSMAN DRIVE

SOUTHERN PINES,NC28387
56-0694200
LONG TERM CARE NC 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(158)ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE

SYRACUSE,NY13203
20-2497520
COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(159)ST JOSEPH'S HEALTH AT HOME INC
7246 JANUS PARK

LIVERPOOL,NY13088
87-1012253
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(160)ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
23-7219294
BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(161)ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
47-4754987
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(162)ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE

SYRACUSE,NY13203
15-0532254
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC
 
Yes
 
(163)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
22-2149775
FOUNDATION NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(164)ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-3899821
HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(165)ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502
TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER
 
Yes
 
(166)ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-5354512
HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(167)ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(168)ST MARY'S FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
58-2544232
FOUNDATION GA 501(C)(3) LINE 12A, I TRINITY HEALTH GEORGIA INC
 
Yes
 
(169)ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
81-1660088
FOUNDATION GA 501(C)(3) LINE 12A, I TRINITY HEALTH GEORGIA INC
 
Yes
 
(170)ST MARY'S HEALTH CARE SYSTEM INC
1230 BAXTER STREET

ATHENS,GA30606
58-0566223
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(171)ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET

ATHENS,GA30606
02-0576648
SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(172)ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET

ATHENS,GA30606
26-1858563
HEALTH CARE SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(173)ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY

LAVONIA,GA30553
47-3752176
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(174)ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(175)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD

ALBANY,NY12208
46-1177336
HEALTH CARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(176)ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD

ALBANY,NY12208
14-1348692
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(177)ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD

ALBANY,NY12208
22-2262982
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(178)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE

SCHENECTADY,NY12308
14-1338386
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(179)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127
FOUNDATION NY 501(C)(3) LINE 7 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
 
Yes
 
(180)THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
20-3018640
VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 10 ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC
 
Yes
 
(181)THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD

ALBANY,NY12205
22-2692940
FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(182)THE COMMUNITY HOSPICE INC
445 NEW KARNER RD

ALBANY,NY12205
14-1608921
HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(183)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
707 EAST CEDAR STREET STE 100

SOUTH BEND,IN46617
35-1654543
FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(184)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE

TROY,NY12180
22-2570478
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(185)THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(186)THE MERCY HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
04-3398280
HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(187)THE NORTHEAST HEALTH FOUNDATION INC
310 SOUTH MANNING BLVD

ALBANY,NY12208
22-2743478
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(188)THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0660403
VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12B, II N/A
 
No
(189)THHS OAKLAND FKA CRANBROOK HOSPICE CARE
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-3320699
HOSPICE SERVICES (INACTIVE) MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(190)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER

PORT HURON,MI48060
38-2485700
HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A
 
No
(191)TRINITY CONTINUING CARE SERVICES
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2559656
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(192)TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 9184

FARMINGTON HILLS,MI48333
93-0907047
LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(193)TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 9184

FARMINGTON HILLS,MI48333
82-4005577
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(194)TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(195)TRINITY HEALTH ANESTHESIA GROUP OF NEW YORK PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
16-1516863
HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST PETER'S HEALTH PARTNERS
 
Yes
 
(196)TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES
 
 
No
(197)TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET

ATHENS,GA30606
88-0878641
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(198)TRINITY HEALTH LIFE PENNSYLVANIA INC
PO BOX 9184

FARMINGTON HILLS,MI48333
47-5244984
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(199)TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1491191
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(200)TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET

HARTFORD,CT06105
83-3546613
HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(201)TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450168
HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(202)TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2212638
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(203)TRINITY HEALTH PACE
PO BOX 9184

FARMINGTON HILLS,MI48333
47-3073124
PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(204)TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733
RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(205)TRINITY HOME HEALTH SERVICES
PO BOX 9184

FARMINGTON HILLS,MI48333
38-2621935
MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(206)VILLA MARY IMMACULATE
301 HACKETT BLVD

ALBANY,NY12208
14-1438749
LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVENT REHABILITATION LLC

607 DEWEY AVENUE SUITE 300
GRAND RAPIDS,MI49504
38-3306673
REHABILITATION THERAPY SERVICES MI N/A
        No   Yes    
(2) BH VENTURE ONE LP

905 WATSON STREET
PITTSBURGH,PA15219
38-4098074
REAL ESTATE PA N/A
        No   Yes    
(3) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

3100 EASTON SQ STE 300
COLUMBUS,OH43219
31-1608125
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(4) CENTER FOR DIGESTIVE CARE LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
03-0447062
PROVIDE GASTROINTESTINAL SERVICES MI N/A
        No     No  
(5) CENTRAL NEW JERSEY HEART SERVICES LLC

45 SAPPHIRE DRIVE
PRINCETON,NJ08550
20-8525458
CARDIAC PROGRAM NJ N/A
        No     No  
(6) CLINTON IMAGING SERVICES LLC

1410 N 4TH STREET
CLINTON,IA52732
41-2044739
MRI DIAGNOSTIC SERVICES IA N/A
        No     No  
(7) CONVENIENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
72-1439481
URGENT CARE CENTER LA N/A
        No   Yes    
(8) DIAGNOSTIC IMAGING OF SOUTHBURY LLC

385 MAIN STREET SOUTH
SOUTHBURY,CT06488
06-1487582
IMAGING CENTER CT N/A
        No   Yes    
(9) EVERETT ROAD ASC LLC

30 CENTURY HILL DRIVE
LATHAM,NY12110
83-3542382
MEDICAL SERVICES NY N/A
        No   Yes    
(10) FOREST PARK IMAGING LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4365966
X-RAY AND MAMMOGRAPHY SERVICES IA N/A
        No   Yes    
(11) FRANCES WARDE MEDICAL LABORATORY

300 WEST TEXTILE ROAD
ANN ARBOR,MI48104
38-2648446
LABORATORY MI N/A
        No   Yes    
(12) GATEWAY HEALTH PLAN LP

444 LIBERTY AVE SUITE 2100
PITTSBURGH,PA15222
25-1691945
MEDICAID & MEDICARE/ SPECIAL NEEDS MANAGED CARE ORGANIZATION PA N/A
        No   Yes    
(13) HAWARDEN REGIONAL HEALTH CLINICS LLC

1122 AVENUE L
HAWARDEN,IA51023
20-1444339
MEDICAL CLINIC IA N/A
        No   Yes    
(14) INTERMOUNTAIN MEDICAL IMAGING LLC

877 WEST MAIN ST STE 603
BOISE,ID83702
82-0514422
IMAGING CENTER ID N/A
        No   Yes    
(15) LAKE CHARLES URGENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
27-2272979
URGENT CARE CENTER LA N/A
        No   Yes    
(16) LCMC URGENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
30-0951534
URGENT CARE CENTER DE N/A
        No   Yes    
(17) LOURDES AFTER HOURS LLC

7777 HENNESSY BLVD SUITE 1004-202
BATON ROUGE,LA70809
20-1367299
URGENT CARE CENTER LA N/A
        No   Yes    
(18) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP

569 BROOKWOOD VILLAGE901
BIRMINGHAM,AL35209
36-4119522
SURGICAL SERVICES IL N/A
        No   Yes    
(19) MAGNETIC RESONANCE SERVICES PARTNERSHIP

1416 SIXTH STREET SW
MASON CITY,IA50401
42-1328388
MRI SERVICES IA N/A
        No   Yes    
(20) MASON CITY AMBULATORY SURGERY CENTER LLC

990 4TH STREET SW
MASON CITY,IA50401
20-1960348
SURGERY-SAME DAY IA N/A
        No   Yes    
(21) MCE MOB IV LIMITED PARTNERSHIP

3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
42-1544707
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(22) MEDILUCENT MOB I

3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
20-4911370
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(23) MERCYONE - HANSEN FAMILY HOSPITAL HOME MEDICAL SHOP LLC

920 S OAK STE 3
IOWA FALLS,IA50126
85-4007472
MEDICAL EQUIPMENT SALES IA N/A
        No   Yes    
(24) MEDWORKS LLC

375 EAST CEDAR STREET
NEWINGTON,CT06111
06-1490483
REHABILITATION SERVICES CT N/A
        No     No  
(25) MERCY HEART CTR OP SERVICES LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4237594
CARDIOVASCULAR SERVICES IA N/A
        No     No  
(26) MERCYMANOR PARTNERSHIP

PO BOX 10086
TOLEDO,OH43699
52-1931012
NURSING HOME PA N/A
        No   Yes    
(27) MERCYUSP HEALTH VENTURES LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
47-1290300
OUTPATIENT SURGERY IA N/A
        No     No  
(28) MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP

3100 EASTON SQ STE 300
COLUMBUS,OH43219
31-1369473
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(29) NAUGATUCK VALLEY MRI LLC

385 MAIN STREET SOUTH
SOUTHBURY,CT06488
06-1239526
IMAGING CENTER CT N/A
        No     No  
(30) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP

2601 HOLME AVE
PHILADELPHIA,PA19152
23-2388040
MEDICAL OFFICE BUILDING PA N/A
        No   Yes    
(31) OSWEGO HEALTH HOME CARE LLC

510 SOUTH 4TH STREET
FULTON,NY13069
47-2463736
HOME HEALTH CARE NY N/A
        No   Yes    
(32) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

1000 NE 56TH STREET
OAKLAND PARK,FL33334
35-2325646
AMBULATORY SURGERY CENTER FL N/A
        No   Yes    
(33) PREMIER HEALTH HOLDINGS LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
47-2665226
URGENT CARE CENTERS DE TRINITY HEALTH CORPORATION
 
RELATED 2,066,492 9,931,481   No 343,885   No 55.700 %
(34) PRIMARY CARE PHYSICIAN CENTER LLC

2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-4038505
OFFICE BUILDING RENTAL IL N/A
        No   Yes    
(35) RADISSON SJH PROPERTIES LLC

100 MADISON STREET SUITE 1200
SYRACUSE,NY13202
46-1892799
MEDICAL OFFICE BUILDING NY N/A
        No   Yes    
(36) RAPIDES AFTER HOURS CLINIC LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
45-1772383
URGENT CARE CENTER LA N/A
        No   Yes    
(37) SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC

15305 DALLAS PKWY STE 1600
ADDISON,TX75001
84-3522377
OUTPATIENT SURGERY CA N/A
        No     No  
(38) SAINT AGNESUSP SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
36-4896811
MEDICAL SERVICES CA N/A
        No     No  
(39) SIXTY FOURTH STREET LLC

2373 64TH ST STE 2200
BYRON CENTER,MI49315
20-2443646
PROVIDE OUTPATIENT SURGICAL CARE MI N/A
        No     No  
(40) SJLS LLC

920 WINTER ST
WALTHAM,MA02451
20-1796650
DIALYSIS SERVICES NY N/A
        No     No  
(41) SMMC MOB II LP

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869
INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A
        No     No  
(42) ST AGNES LONG-TERM INTENSIVE CARE LLP

3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
20-0984882
LONG TERM INTENSIVE CARE PA N/A
        No   Yes    
(43) ST ALPHONSUS CALDWELL CANCER CTR LLC

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861
HEALTH CARE SERVICES ID N/A
        No   Yes    
(44) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

3100 EASTON SQ STE 300
COLUMBUS,OH43219
31-1603660
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(45) ST JOSEPH'S IMAGING ASSOCIATES PLLC

104 UNION AVE SUITE 905
SYRACUSE,NY13203
16-1104293
RADIOLOGY SERVICES NY N/A
        No   Yes    
(46) ST MARY REHABILITATION HOSPITAL LLP

680 SOUTH FOURTH STREET
LOUISVILLE,KY40202
27-3938747
HEALTH CARE SERVICES DE N/A
        No     No  
(47) ST PETER'S AMBULATORY SURGERY CENTER LLC

1375 WASHINGTON AVE 201
ALBANY,NY12206
46-0463892
OUTPATIENT SURGERY NY N/A
        No   Yes    
(48) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
27-2871206
OUTPATIENT SURGERY PA N/A
        No   Yes    
(49) THPH URGENT CARE LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
85-2464958
URGENT CARE CENTERS DE TRINITY HEALTH CORPORATION
 
RELATED -2,635,356 9,352,678   No     No 51.000 %
(50) WOODLAND IMAGING CENTER LLC

5301 E HURON RIVER DR
ANN ARBOR,MI48106
76-0820959
RADIOLOGY/ IMAGING MI N/A
        No     No  
(51) WOODLAND PARTNERS REAL ESTATE LLC

129 WOODLAND STREET
HARTFORD,CT06105
83-3371094
REAL ESTATE CT N/A
        No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CATHERINE HORAN BUILDING CORPORATION

114 WOODLAND STREET
HARTFORD,CT06105
04-2938160
BUILDING MANAGEMENT MA N/A
C       Yes  
(2) CENTRAL VALLEY HEALTH PLAN INC

1303 E HERNDON AVE
FRESNO,CA93720
61-1846844
HEALTH INSURANCE CA N/A
C       Yes  
(3) FHS SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
27-2995699
MEDICAL SERVICES NY N/A
C       Yes  
(4) FRANCISCAN ASSOCIATES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
20-2991688
MEDICAL SERVICES NY N/A
C       Yes  
(5) FRANCISCAN HEALTH SUPPORT INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1236354
MEDICAL SERVICES NY N/A
C       Yes  
(6) FRANCISCAN MANAGEMENT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1351193
MANAGEMENT SERVICES NY N/A
C       Yes  
(7) FRANKLIN MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1470493
PHYSICIAN OFFICE CT N/A
C       Yes  
(8) HACKLEY HEALTH VENTURES INC

318 RIVER RIDGE DR NW SUITE 100
WALKER,MI49544
38-2589959
OTHER MEDICAL SERVICES MI N/A
C       Yes  
(9) HACKLEY PROFESSIONAL PHARMACY INC

318 RIVER RIDGE DR NW SUITE 100
WALKER,MI49544
38-2447870
PHARMACY MI N/A
C       Yes  
(10) HEALTH CARE MANAGEMENT ADMINISTRATORS INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1450960
HEALTH CARE MANAGEMENT NY N/A
C       Yes  
(11) HURON ARBOR CORPORATION

5301 EAST HURON RIVER DR
ANN ARBOR,MI48106
38-2475644
PROVIDES OFFICE RENTAL SPACE MI N/A
C       Yes  
(12) IHA AFFILIATION CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895
MEDICAL MANAGEMENT MI N/A
C       Yes  
(13) LABORATORY ASSOCIATES OF MICHIGAN INC

300 W TEXTILE ROAD
ANN ARBOR,MI48104
38-2637870
LAB SERVICES MI N/A
C       Yes  
(14) LANGHORNE SERVICES II INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
26-3795549
GENERAL PARTNER OF LMOB PARTNERS, II PA N/A
C       Yes  
(15) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981
GENERAL PARTNER OF LMOB PARTNERS PA N/A
C       Yes  
(16) MACNEAL HEALTH PROVIDERS INC

750 PASQUINELLI DRIVE SUITE 216
WESTMONT,IL60059
36-3361297
MEDICAL SERVICES IL N/A
C       Yes  
(17) MARYLAND CARE GROUP INC

1500 FOREST GLEN RD
SILVER SPRING,MD20910
52-1815313
HEALTH CARE HOLDING MD N/A
C       Yes  
(18) MCMC EASTWICK INC

3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
23-2184261
MEDICAL OFFICE BUILDINGS PA N/A
C       Yes  
(19) MEDNOW INC

4300 E FLAMINGO AVE
NAMPA,ID83687
82-0389927
MEDICAL SERVICES ID N/A
C       Yes  
(20) MERCY INPATIENT MEDICAL ASSOCIATES INC

114 WOODLAND STREET
HARTFORD,CT06105
04-3029929
MEDICAL SERVICES MA N/A
C       Yes  
(21) MERCY MEDICAL SERVICES

801 5TH STREET
SIOUX CITY,IA51101
42-1283849
PRIMARY CARE PHYSICIANS IA N/A
C       Yes  
(22) MOUNT CARMEL HEALTHPROVIDERS INC

3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
31-1382442
MEDICAL SERVICES OH N/A
C       Yes  
(23) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192
MEDICAL SERVICES FL N/A
C       Yes  
(24) SAINT ALPHONSUS HEALTH ALLIANCE INC

1055 NORTH CURTIS ROAD
BOISE,ID83706
82-0524649
ACCOUNTABLE CARE ORGANIZATION ID N/A
C       Yes  
(25) SAINT ALPHONSUS PHYSICIANS PA

1055 NORTH CURTIS ROAD
BOISE,ID83706
33-1078261
HEALTH CARE SERVICES (INACTIVE) ID N/A
C       Yes  
(26) SAINT FRANCIS BEHAVIORAL HEALTH GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1384686
MEDICAL SERVICES CT N/A
C       Yes  
(27) SAINT FRANCIS CARE MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1432373
MEDICAL SERVICES CT N/A
C       Yes  
(28) SAMARITAN MEDICAL OFFICE BUILDING INC

2212 BURDETT AVENUE
TROY,NY12180
14-1607244
REAL ESTATE NY N/A
C       Yes  
(29) SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC

114 WOODLAND STREET
HARTFORD,CT06105
06-1232868
PROPERTY MANAGEMENT CT N/A
C       Yes  
(30) SJM PROPERTIES INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
16-1294991
PROPERTY HOLDINGS NY N/A
C       Yes  
(31) SJPE PRACTICE MANAGEMENT SERVICES INC

301 PROSPECT AVE
SYRACUSE,NY13203
45-4164964
MANAGEMENT SERVICES NY N/A
C       Yes  
(32) SJRMC HOLDINGS INC

5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
47-4763735
PROPERTY HOLDINGS IN N/A
C       Yes  
(33) ST ELIZABETH HEALTH SUPPORT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1540486
MEDICAL SERVICES NY N/A
C       Yes  
(34) SYSTEM COORDINATED SERVICES INC

114 WOODLAND STREET
HARTFORD,CT06105
04-2938161
LAB SERVICES MA N/A
C       Yes  
(35) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654
REAL ESTATE BROKERAGE SERVICES MI N/A
C       Yes  
(36) TRINITY ASSURANCE LTD

PO BOX 1159 GRAND CAYMAN
GRAND CAYMAN    
CJ
98-0453602
SELF-INSURANCE CJ TRINITY HEALTH CORPORATION
 
C   707,933,480 100.000 % Yes  
(37) TRINITY HEALTH ACO INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
47-3794666
ACCOUNTABLE CARE ORGANIZATION DE TRINITY HEALTH CORPORATION
 
C 1,906,035 23,764,534 100.000 % Yes  
(38) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377
GRANTOR TRUST MI TRINITY HEALTH CORPORATION
 
T     100.000 % Yes  
(39) TRINITY SENIOR SERVICES MANAGEMENT INC

PO BOX 9184
FARMINGTON HILLS,MI48333
37-1572595
SENIOR SERVICES PA N/A
C       Yes  
(40) WORKPLACE HEALTH OF GRAND HAVEN INC

318 RIVER RIDGE DR NW SUITE 100
WALKER,MI49544
38-3112035
OCCUPATIONAL HEALTH MI N/A
C       Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) ALLEGANY FRANCISCAN MINISTRIES INC

C 1,000,000 PER BOOKS
(2) ALLEGANY FRANCISCAN MINISTRIES INC

L 180,868 PER BOOKS
(3) ALLEGANY FRANCISCAN MINISTRIES INC

Q 1,070,147 PER BOOKS
(4) BEECHWOOD INC

L 172,124 PER BOOKS
(5) BETHLEHEM HAVEN OF PITTSBURGH

L 173,343 PER BOOKS
(6) FRANCES WARDE MEDICAL LABORATORY

C 318,015 PER BOOKS
(7) GLOBAL HEALTH MINISTRY

B 500,000 PER BOOKS
(8) GOOD SAMARITAN HOSPITAL INC

L 308,702 PER BOOKS
(9) GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION

L 3,472,248 PER BOOKS
(10) GOTTLIEB MEMORIAL HOSPITAL

A 538,236 PER BOOKS
(11) GOTTLIEB MEMORIAL HOSPITAL

B 1,548,111 PER BOOKS
(12) GOTTLIEB MEMORIAL HOSPITAL

L 2,733,650 PER BOOKS
(13) GOTTLIEB MEMORIAL HOSPITAL

P 2,219,364 PER BOOKS
(14) GOTTLIEB MEMORIAL HOSPITAL

Q 2,172,670 PER BOOKS
(15) GOTTLIEB MEMORIAL HOSPITAL

S 2,300,390 PER BOOKS
(16) HOLY CROSS HEALTH FOUNDATION INC

L 70,886 PER BOOKS
(17) HOLY CROSS HEALTH INC

A 13,345,051 PER BOOKS
(18) HOLY CROSS HEALTH INC

B 102,310 PER BOOKS
(19) HOLY CROSS HEALTH INC

C 7,261,468 PER BOOKS
(20) HOLY CROSS HEALTH INC

L 50,064,176 PER BOOKS
(21) HOLY CROSS HEALTH INC

M 77,058 PER BOOKS
(22) HOLY CROSS HEALTH INC

P 2,140,686 PER BOOKS
(23) HOLY CROSS HEALTH INC

Q 26,417,125 PER BOOKS
(24) HOLY CROSS HEALTH INC

R 2,096,141 PER BOOKS
(25) HOLY CROSS HEALTH INC

S 1,503,672 PER BOOKS
(26) HOLY CROSS HOSPITAL INC

A 5,043,902 PER BOOKS
(27) HOLY CROSS HOSPITAL INC

B 1,352,180 PER BOOKS
(28) HOLY CROSS HOSPITAL INC

C 4,415,063 PER BOOKS
(29) HOLY CROSS HOSPITAL INC

L 39,606,327 PER BOOKS
(30) HOLY CROSS HOSPITAL INC

M 344,043 PER BOOKS
(31) HOLY CROSS HOSPITAL INC

P 5,263,414 PER BOOKS
(32) HOLY CROSS HOSPITAL INC

Q 20,146,558 PER BOOKS
(33) HOLY CROSS HOSPITAL INC

S 932,794 PER BOOKS
(34) IHA HEALTH SERVICES CORPORATION

P 1,699,112 PER BOOKS
(35) JOHNSON MEMORIAL HOSPITAL INC

L 91,621 PER BOOKS
(36) LOYOLA UNIVERSITY HEALTH SYSTEM

A 25,728,289 PER BOOKS
(37) LOYOLA UNIVERSITY HEALTH SYSTEM

B 433,804 PER BOOKS
(38) LOYOLA UNIVERSITY HEALTH SYSTEM

L 485,496 PER BOOKS
(39) LOYOLA UNIVERSITY HEALTH SYSTEM

Q 4,599,724 PER BOOKS
(40) LOYOLA UNIVERSITY HEALTH SYSTEM

S 2,898,961 PER BOOKS
(41) LOYOLA UNIVERSITY MEDICAL CENTER

C 19,023,574 PER BOOKS
(42) LOYOLA UNIVERSITY MEDICAL CENTER

L 113,695,869 PER BOOKS
(43) LOYOLA UNIVERSITY MEDICAL CENTER

M 2,966,326 PER BOOKS
(44) LOYOLA UNIVERSITY MEDICAL CENTER

P 5,648,720 PER BOOKS
(45) LOYOLA UNIVERSITY MEDICAL CENTER

Q 74,521,768 PER BOOKS
(46) LOYOLA UNIVERSITY MEDICAL CENTER

R 524,916 PER BOOKS
(47) MERCY CARE CENTER

Q 238,529 PER BOOKS
(48) MERCY CARE FOUNDATION INC

L 71,648 PER BOOKS
(49) MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA

B 305,528 PER BOOKS
(50) MERCY COMMUNITY HEALTH INC

A 1,001,493 PER BOOKS
(51) MERCY COMMUNITY HEALTH INC

S 112,842 PER BOOKS
(52) MERCY HEALTH PARTNERS

A 7,332,917 PER BOOKS
(53) MERCY HEALTH PARTNERS

C 8,214,604 PER BOOKS
(54) MERCY HEALTH PARTNERS

L 66,240,265 PER BOOKS
(55) MERCY HEALTH PARTNERS

M 225,304 PER BOOKS
(56) MERCY HEALTH PARTNERS

P 4,056,233 PER BOOKS
(57) MERCY HEALTH PARTNERS

Q 15,262,670 PER BOOKS
(58) MERCY HEALTH PARTNERS

R 439,421 PER BOOKS
(59) MERCY HEALTH PARTNERS

S 826,240 PER BOOKS
(60) MERCY HEALTH PLAN

C 1,681,814 PER BOOKS
(61) MERCY HEALTH SERVICES - IOWA CORP

A 9,752,665 PER BOOKS
(62) MERCY HEALTH SERVICES - IOWA CORP

C 12,685,806 PER BOOKS
(63) MERCY HEALTH SERVICES - IOWA CORP

D 70,000,000 PER BOOKS
(64) MERCY HEALTH SERVICES - IOWA CORP

L 92,033,549 PER BOOKS
(65) MERCY HEALTH SERVICES - IOWA CORP

M 384,990 PER BOOKS
(66) MERCY HEALTH SERVICES - IOWA CORP

P 4,410,088 PER BOOKS
(67) MERCY HEALTH SERVICES - IOWA CORP

Q 21,540,701 PER BOOKS
(68) MERCY HEALTH SERVICES - IOWA CORP

R 1,222,824 PER BOOKS
(69) MERCY HEALTH SERVICES - IOWA CORP

S 1,098,891 PER BOOKS
(70) MERCY HOSPITAL AND MEDICAL CENTER

L 1,060,634 PER BOOKS
(71) MERCY HOSPITAL AND MEDICAL CENTER

Q 1,248,778 PER BOOKS
(72) MERCY MEDICAL CENTER - CLINTON INC

A 563,235 PER BOOKS
(73) MERCY MEDICAL CENTER - CLINTON INC

C 1,782,880 PER BOOKS
(74) MERCY MEDICAL CENTER - CLINTON INC

L 13,417,965 PER BOOKS
(75) MERCY MEDICAL CENTER - CLINTON INC

P 464,023 PER BOOKS
(76) MERCY MEDICAL CENTER - CLINTON INC

Q 4,288,735 PER BOOKS
(77) MERCY MEDICAL CENTER - CLINTON INC

R 146,188 PER BOOKS
(78) MERCY MEDICAL CENTER - CLINTON INC

S 63,467 PER BOOKS
(79) MOUNT CARMEL HEALTH INSURANCE COMPANY

B 900,000 PER BOOKS
(80) MOUNT CARMEL HEALTH PLAN

P 2,897,167 PER BOOKS
(81) MOUNT CARMEL HEALTH PLAN OF NEW YORK INC

B 2,000,000 PER BOOKS
(82) MOUNT CARMEL HEALTH PLAN OF NEW YORK INC

P 749,771 PER BOOKS
(83) MOUNT CARMEL HEALTH PLAN IDAHO INC

B 5,800,000 PER BOOKS
(84) MOUNT CARMEL HEALTH PLAN IDAHO INC

P 2,212,685 PER BOOKS
(85) MOUNT CARMEL HEALTH SYSTEM

A 22,551,410 PER BOOKS
(86) MOUNT CARMEL HEALTH SYSTEM

B 203,810 PER BOOKS
(87) MOUNT CARMEL HEALTH SYSTEM

C 20,605,703 PER BOOKS
(88) MOUNT CARMEL HEALTH SYSTEM

L 148,080,321 PER BOOKS
(89) MOUNT CARMEL HEALTH SYSTEM

M 133,247 PER BOOKS
(90) MOUNT CARMEL HEALTH SYSTEM

P 9,380,551 PER BOOKS
(91) MOUNT CARMEL HEALTH SYSTEM

Q 43,131,739 PER BOOKS
(92) MOUNT CARMEL HEALTH SYSTEM

R 4,769,046 PER BOOKS
(93) MOUNT CARMEL HEALTH SYSTEM

S 2,541,005 PER BOOKS
(94) MOUNT CARMEL HEALTH SYSTEM FOUNDATION

L 210,893 PER BOOKS
(95) MOUNT SINAI REHABILITATION HOSPITAL INC

L 141,392 PER BOOKS
(96) PITTSBURGH MERCY HEALTH SYSTEM INC

C 224,179 PER BOOKS
(97) PITTSBURGH MERCY HEALTH SYSTEM INC

L 713,096 PER BOOKS
(98) PITTSBURGH MERCY HEALTH SYSTEM INC

P 836,903 PER BOOKS
(99) PITTSBURGH MERCY HEALTH SYSTEM INC

Q 3,675,554 PER BOOKS
(100) PITTSBURGH MERCY HEALTH SYSTEM INC

S 166,817 PER BOOKS
(101) PREMIER HEALTH HOLDINGS LLC

A 263,033 PER BOOKS
(102) PREMIER HEALTH HOLDINGS LLC

B 2,860,617 PER BOOKS
(103) PREMIER HEALTH HOLDINGS LLC

Q 181,605 PER BOOKS
(104) RIVERBEND MEDICAL GROUP INC

L 344,701 PER BOOKS
(105) SAINT AGNES MEDICAL CENTER

A 3,145,657 PER BOOKS
(106) SAINT AGNES MEDICAL CENTER

B 260,000 PER BOOKS
(107) SAINT AGNES MEDICAL CENTER

C 8,101,741 PER BOOKS
(108) SAINT AGNES MEDICAL CENTER

L 49,181,818 PER BOOKS
(109) SAINT AGNES MEDICAL CENTER

P 2,766,427 PER BOOKS
(110) SAINT AGNES MEDICAL CENTER

Q 25,672,441 PER BOOKS
(111) SAINT AGNES MEDICAL CENTER

R 2,458,605 PER BOOKS
(112) SAINT AGNES MEDICAL CENTER

S 348,063 PER BOOKS
(113) SAINT ALPHONSUS HEALTH SYSTEM INC

L 56,262,126 PER BOOKS
(114) SAINT ALPHONSUS HEALTH SYSTEM INC

P 2,194,406 PER BOOKS
(115) SAINT ALPHONSUS HEALTH SYSTEM INC

Q 20,220,894 PER BOOKS
(116) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

A 350,696 PER BOOKS
(117) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

L 1,563,714 PER BOOKS
(118) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

P 163,454 PER BOOKS
(119) SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC

Q 596,470 PER BOOKS
(120) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

A 1,650,632 PER BOOKS
(121) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

C 65,045 PER BOOKS
(122) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

L 8,330,341 PER BOOKS
(123) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

Q 1,089,532 PER BOOKS
(124) SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

S 185,991 PER BOOKS
(125) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

A 674,078 PER BOOKS
(126) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

B 142,000 PER BOOKS
(127) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

L 3,421,493 PER BOOKS
(128) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

M 55,894 PER BOOKS
(129) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

Q 499,556 PER BOOKS
(130) SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC

S 75,951 PER BOOKS
(131) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

A 6,052,413 PER BOOKS
(132) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

C 10,811,399 PER BOOKS
(133) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

L 33,419,105 PER BOOKS
(134) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

M 465,842 PER BOOKS
(135) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

P 2,308,548 PER BOOKS
(136) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

Q 6,492,506 PER BOOKS
(137) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

R 1,565,218 PER BOOKS
(138) SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC

S 681,962 PER BOOKS
(139) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

B 275,000 PER BOOKS
(140) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

C 11,644,002 PER BOOKS
(141) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

L 105,807,432 PER BOOKS
(142) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

M 3,366,489 PER BOOKS
(143) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

P 6,120,354 PER BOOKS
(144) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

Q 43,534,619 PER BOOKS
(145) SAINT FRANCIS HOSPITAL AND MEDICAL CENTER

S 348,592 PER BOOKS
(146) SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

A 196,472 PER BOOKS
(147) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

A 10,174,086 PER BOOKS
(148) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

B 168,968 PER BOOKS
(149) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

M 118,037 PER BOOKS
(150) SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC

S 1,146,365 PER BOOKS
(151) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

C 6,265,489 PER BOOKS
(152) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

D 60,000,000 PER BOOKS
(153) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

L 45,061,360 PER BOOKS
(154) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

P 2,780,659 PER BOOKS
(155) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

Q 16,070,070 PER BOOKS
(156) SAINT JOSEPH REGIONAL MEDICAL CENTER INC

R 2,134,936 PER BOOKS
(157) SAINT JOSEPH'S HEALTH SYSTEM INC

L 426,343 PER BOOKS
(158) SAINT JOSEPH'S HEALTH SYSTEM INC

Q 1,274,373 PER BOOKS
(159) SAINT MARY'S HOSPITAL INC

L 66,791 PER BOOKS
(160) ST FRANCIS HOSPITAL INC

A 613,030 PER BOOKS
(161) ST FRANCIS HOSPITAL INC

B 277,500 PER BOOKS
(162) ST FRANCIS HOSPITAL INC

C 1,531,353 PER BOOKS
(163) ST FRANCIS HOSPITAL INC

L 16,353,064 PER BOOKS
(164) ST FRANCIS HOSPITAL INC

M 426,176 PER BOOKS
(165) ST FRANCIS HOSPITAL INC

P 2,703,222 PER BOOKS
(166) ST FRANCIS HOSPITAL INC

Q 5,834,935 PER BOOKS
(167) ST FRANCIS HOSPITAL INC

S 79,101 PER BOOKS
(168) ST FRANCIS MEDICAL CENTER TRENTON NJ

A 2,506,599 PER BOOKS
(169) ST FRANCIS MEDICAL CENTER TRENTON NJ

B 197,827 PER BOOKS
(170) ST FRANCIS MEDICAL CENTER TRENTON NJ

L 12,469,069 PER BOOKS
(171) ST FRANCIS MEDICAL CENTER TRENTON NJ

P 970,218 PER BOOKS
(172) ST FRANCIS MEDICAL CENTER TRENTON NJ

Q 3,243,112 PER BOOKS
(173) ST FRANCIS MEDICAL CENTER TRENTON NJ

S 339,688 PER BOOKS
(174) ST JOSEPH MERCY CHELSEA INC

C 1,618,550 PER BOOKS
(175) ST JOSEPH MERCY CHELSEA INC

L 3,368,161 PER BOOKS
(176) ST JOSEPH MERCY CHELSEA INC

M 70,156 PER BOOKS
(177) ST JOSEPH MERCY CHELSEA INC

Q 3,199,148 PER BOOKS
(178) ST JOSEPH OF THE PINES INC

A 1,589,565 PER BOOKS
(179) ST JOSEPH OF THE PINES INC

S 179,110 PER BOOKS
(180) ST JOSEPH'S HEALTH CENTER PROPERTIES INC

A 1,125,109 PER BOOKS
(181) ST JOSEPH'S HEALTH CENTER PROPERTIES INC

S 126,777 PER BOOKS
(182) ST JOSEPH'S HOSPITAL HEALTH CENTER

A 10,170,020 PER BOOKS
(183) ST JOSEPH'S HOSPITAL HEALTH CENTER

B 90,000 PER BOOKS
(184) ST JOSEPH'S HOSPITAL HEALTH CENTER

C 47,694,394 PER BOOKS
(185) ST JOSEPH'S HOSPITAL HEALTH CENTER

D 50,000,000 PER BOOKS
(186) ST JOSEPH'S HOSPITAL HEALTH CENTER

L 51,039,641 PER BOOKS
(187) ST JOSEPH'S HOSPITAL HEALTH CENTER

P 2,822,143 PER BOOKS
(188) ST JOSEPH'S HOSPITAL HEALTH CENTER

Q 24,734,903 PER BOOKS
(189) ST JOSEPH'S HOSPITAL HEALTH CENTER

S 1,880,512 PER BOOKS
(190) ST MARY MEDICAL CENTER

A 677,890 PER BOOKS
(191) ST MARY MEDICAL CENTER

B 161,173 PER BOOKS
(192) ST MARY MEDICAL CENTER

C 4,480,859 PER BOOKS
(193) ST MARY MEDICAL CENTER

L 40,632,359 PER BOOKS
(194) ST MARY MEDICAL CENTER

P 2,294,319 PER BOOKS
(195) ST MARY MEDICAL CENTER

Q 23,529,873 PER BOOKS
(196) ST MARY MEDICAL CENTER

S 76,382 PER BOOKS
(197) ST MARY'S HEALTH CARE SYSTEM INC

A 2,182,976 PER BOOKS
(198) ST MARY'S HEALTH CARE SYSTEM INC

C 3,275,971 PER BOOKS
(199) ST MARY'S HEALTH CARE SYSTEM INC

L 22,723,478 PER BOOKS
(200) ST MARY'S HEALTH CARE SYSTEM INC

P 2,236,934 PER BOOKS
(201) ST MARY'S HEALTH CARE SYSTEM INC

Q 15,963,936 PER BOOKS
(202) ST MARY'S HEALTH CARE SYSTEM INC

S 409,171 PER BOOKS
(203) ST MARY'S SACRED HEART HOSPITAL INC

L 625,799 PER BOOKS
(204) ST PETER'S HEALTH PARTNERS

B 90,000 PER BOOKS
(205) ST PETER'S HEALTH PARTNERS

L 95,324,295 PER BOOKS
(206) ST PETER'S HEALTH PARTNERS

P 6,170,988 PER BOOKS
(207) ST PETER'S HEALTH PARTNERS

Q 40,923,680 PER BOOKS
(208) ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC

L 233,832 PER BOOKS
(209) ST PETER'S HOSPITAL

A 8,071,191 PER BOOKS
(210) ST PETER'S HOSPITAL

C 120,309,554 PER BOOKS
(211) ST PETER'S HOSPITAL

M 106,602 PER BOOKS
(212) ST PETER'S HOSPITAL

S 964,748 PER BOOKS
(213) THE MERCY HOSPITAL INC

A 3,836,614 PER BOOKS
(214) THE MERCY HOSPITAL INC

B 447,000 PER BOOKS
(215) THE MERCY HOSPITAL INC

C 4,623,926 PER BOOKS
(216) THE MERCY HOSPITAL INC

L 26,548,758 PER BOOKS
(217) THE MERCY HOSPITAL INC

P 1,507,035 PER BOOKS
(218) THE MERCY HOSPITAL INC

Q 6,729,464 PER BOOKS
(219) THE MERCY HOSPITAL INC

S 440,233 PER BOOKS
(220) THPH URGENT CARE LLC

Q 277,352 PER BOOKS
(221) THRE SERVICES LLC

B 73,905 PER BOOKS
(222) TRINITY ASSURANCE LTD

C 566,898 PER BOOKS
(223) TRINITY ASSURANCE LTD

L 955,922 PER BOOKS
(224) TRINITY ASSURANCE LTD

P 93,386,741 PER BOOKS
(225) TRINITY CONTINUING CARE SERVICES

A 4,546,492 PER BOOKS
(226) TRINITY CONTINUING CARE SERVICES

C 3,261,561 PER BOOKS
(227) TRINITY CONTINUING CARE SERVICES

D 40,040,000 PER BOOKS
(228) TRINITY CONTINUING CARE SERVICES

L 8,779,461 PER BOOKS
(229) TRINITY CONTINUING CARE SERVICES

P 2,210,318 PER BOOKS
(230) TRINITY CONTINUING CARE SERVICES

Q 9,996,814 PER BOOKS
(231) TRINITY CONTINUING CARE SERVICES

R 150,730 PER BOOKS
(232) TRINITY CONTINUING CARE SERVICES

S 512,285 PER BOOKS
(233) TRINITY HEALTH - MICHIGAN

A 26,534,383 PER BOOKS
(234) TRINITY HEALTH - MICHIGAN

B 3,363,852 PER BOOKS
(235) TRINITY HEALTH - MICHIGAN

C 36,128,311 PER BOOKS
(236) TRINITY HEALTH - MICHIGAN

L 268,703,792 PER BOOKS
(237) TRINITY HEALTH - MICHIGAN

M 290,657 PER BOOKS
(238) TRINITY HEALTH - MICHIGAN

P 13,518,656 PER BOOKS
(239) TRINITY HEALTH - MICHIGAN

Q 66,290,635 PER BOOKS
(240) TRINITY HEALTH - MICHIGAN

R 2,875,914 PER BOOKS
(241) TRINITY HEALTH - MICHIGAN

S 2,989,783 PER BOOKS
(242) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC

A 10,458,257 PER BOOKS
(243) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC

P 917,321 PER BOOKS
(244) TRINITY HEALTH OF NEW ENGLAND CORPORATION INC

S 1,178,395 PER BOOKS
(245) TRINITY HEALTH OF THE MID-ATLANTIC REGION

A 495,834 PER BOOKS
(246) TRINITY HEALTH OF THE MID-ATLANTIC REGION

C 3,417,875 PER BOOKS
(247) TRINITY HEALTH OF THE MID-ATLANTIC REGION

L 45,821,861 PER BOOKS
(248) TRINITY HEALTH OF THE MID-ATLANTIC REGION

P 1,662,898 PER BOOKS
(249) TRINITY HEALTH OF THE MID-ATLANTIC REGION

Q 32,450,877 PER BOOKS
(250) TRINITY HEALTH OF THE MID-ATLANTIC REGION

S 636,473 PER BOOKS
(251) TRINITY HEALTH PACE

A 732,561 PER BOOKS
(252) TRINITY HEALTH PACE

C 2,577,652 PER BOOKS
(253) TRINITY HEALTH PACE

L 3,868,914 PER BOOKS
(254) TRINITY HEALTH PACE

P 959,080 PER BOOKS
(255) TRINITY HEALTH PACE

Q 5,290,918 PER BOOKS
(256) TRINITY HEALTH PACE

S 82,539 PER BOOKS
(257) TRINITY HOME HEALTH SERVICES

B 230,693 PER BOOKS
(258) TRINITY HOME HEALTH SERVICES

C 3,217,512 PER BOOKS
(259) TRINITY HOME HEALTH SERVICES

L 7,533,212 PER BOOKS
(260) TRINITY HOME HEALTH SERVICES

P 3,989,041 PER BOOKS
(261) TRINITY HOME HEALTH SERVICES

Q 6,949,341 PER BOOKS
(262) TRINITY HOME HEALTH SERVICES

R 167,604 PER BOOKS
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


Software ID:  
Software Version: